Active NPI
Noel Ann Miller, MS OTR/L
- Community Health Worker
- Ridge, NY
National Provider Identifier
1396992483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 014808
- Practice address
- 24 Cobblestone Dr
Ridge, NY 11961-1719 - Phone
- (631) 921-8190
- NPI assigned
- Aug 20, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 014808 | NY | Primary |
Addresses
Primary practice location
24 Cobblestone Dr
Ridge, NY 11961-1719
Mailing address
24 Cobblestone Dr
Ridge, NY 11961-1719
Phone (631) 921-8190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014808 | NY | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508198400000",
"number": "1396992483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 COBBLESTONE DR",
"city": "RIDGE",
"state": "NY",
"postal_code": "119611719",
"telephone_number": "631-921-8190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 COBBLESTONE DR",
"city": "RIDGE",
"state": "NY",
"postal_code": "119611719",
"telephone_number": "631-921-8190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "NOEL",
"middle_name": "ANN",
"credential": "MS OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-20",
"last_updated": "2017-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NY",
"license": "014808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.