Organization Active NPI

Linda E. Miller, LLC

  • Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
  • Saint Louis, MO
National Provider Identifier
1396065181
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geropsychiatric Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0813X
License
RN554563 Issued in MO
Legal business name
LINDA E. MILLER, LLC
Practice address
11425 Uphill TRL
Saint Louis, MO 63138-3401
Phone
(636) 230-0411
Fax
(636) 230-0421
NPI assigned
Jun 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Linda Miller, RN, MSN, CSNPI 1598753337
Title
Provider
Phone
(314) 307-1011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geropsychiatric Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SP0813X RN554563 MO Primary

Addresses

Primary practice location

11425 Uphill TRL
Saint Louis, MO 63138-3401

Mailing address

11425 Uphill TRL
Saint Louis, MO 63138-3401
Phone (636) 230-0411

Other identifiers 2

IdentifierTypeStateIssuer
157244OtherANTHEM BLUE CROSS/BLUE SHIELD
4246753338MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100622000413 MO Part B Supplier - Clinic/Group Practice 0345371209 Receives reassigned benefits from 1 practitioner
Practice locations: Ballwin, MO; Florissant, MO; Saint Louis, MO; St Louis, MO

National Provider Directory

National Provider Directory

Locations

820 Country MNR LN
Delmar GDNS Creve Coeur
St Louis, MO 63141
Phone (314) 434-5900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1396065181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11425 UPHILL TRL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631383401",
            "telephone_number": "636-230-0411",
            "fax_number": "636-230-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11425 UPHILL TRL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631383401",
            "telephone_number": "636-230-0411",
            "fax_number": "636-230-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA E. MILLER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "314-307-1011",
        "authorized_official_credential": "RN, MSN, CS"
    },
    "taxonomies": [
        {
            "code": "364SP0813X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Geropsychiatric",
            "state": "MO",
            "license": "RN554563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS/BLUE SHIELD",
            "identifier": "157244",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4246753338",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.