Miller E Elam, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

249323 Issued in SC

Practice address

900 Woodside Ave
Greenville, SC 29611-4221

Phone

(864) 214-1608

Fax

(864) 383-6293

NPI assigned

Feb 6, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1457057002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WOODSIDE AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296114221",
            "telephone_number": "864-214-1608",
            "fax_number": "864-383-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WOODSIDE AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296114221",
            "telephone_number": "864-214-1608",
            "fax_number": "864-383-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELAM",
        "first_name": "MILLER",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "SC",
            "license": "249323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "249323",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ngozi Ogechi Eke, FNP
• Dima El Zein, M.D.
• Ezzat El-Bayoumi, MD
• Assil Jihad El-Ghali
• Shereef Yehia El-Ibiary, MD
• Shushan Elam, CRNA
• Stacey Elam, FNP
• Jennifer E Elder Reese, PTA
• Jeffrey Wayne Elder, MD
• Joseph Elder, MD

• School Registered Nurse in Greenville, SC
• Providers in Greenville, SC by specialty
• School Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.