Active NPI
Shondria Nicole Miller, R.N.
- Registered Nurse
- Springfield, OH
National Provider Identifier
1417466426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN.457456
- Practice address
- 1918 Mechanicsburg Road
Springfield, OH 43044 - Phone
- (937) 398-0274
- Fax
- (937) 399-3112
- NPI assigned
- Sep 21, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN.164878.MED-IV | OH | |
| Registered Nurse | 163W00000X | RN.457456 | OH | Primary |
Addresses
Primary practice location
1918 Mechanicsburg Road
Springfield, OH 43044
Mailing address
1918 Mechanicsburg Rd
Springfield, OH 45503-3147
Phone (937) 398-0274
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.457456 | OH | MD | Registered Nurse |
| LPN.164878.MED-IV | OH | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oesterlen Services for Youth, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/oesterlen/r4/
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adolescent and Children Mental Health Clinic/Center
- Springfield, OH
- NPI 1740244284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1417466426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1918 MECHANICSBURG RD",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455033147",
"telephone_number": "937-398-0274",
"fax_number": "937-399-3112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1918 MECHANICSBURG ROAD",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "43044",
"telephone_number": "937-398-0274",
"fax_number": "937-399-3112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SHONDRIA",
"middle_name": "NICOLE",
"name_prefix": "Miss",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "LPN.164878.MED-IV",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.457456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.