Organization Active NPI

Lisa McCoy Miller Arnp PLLC

  • Nursing Care Agency
  • Boaz, KY
National Provider Identifier
1396973566
Registry record updated Jun 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
2009001762 Issued in KY
Legal business name
LISA MCCOY MILLER ARNP PLLC
Practice address
75 Duffy Rd
Boaz, KY 42027-8461
Phone
(270) 804-9707
Fax
(270) 658-3009
NPI assigned
Jun 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2009

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

Authorized official

Name
Lisa McCoy Miller, ARNP
Title
Member Manager
Phone
(270) 804-9707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 2009001762 KY Primary

Addresses

Primary practice location

75 Duffy Rd
Boaz, KY 42027-8461

Mailing address

75 Duffy Rd
Boaz, KY 42027-8461
Phone (270) 804-9707

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245974400000",
    "number": "1396973566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 DUFFY RD",
            "city": "BOAZ",
            "state": "KY",
            "postal_code": "420278461",
            "telephone_number": "270-804-9707",
            "fax_number": "270-658-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 DUFFY RD",
            "city": "BOAZ",
            "state": "KY",
            "postal_code": "420278461",
            "telephone_number": "270-804-9707",
            "fax_number": "270-658-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA MCCOY MILLER ARNP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-26",
        "last_updated": "2009-06-26",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MCCOY",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "270-804-9707",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "KY",
            "license": "2009001762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boaz, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.