Theresa Miller, INDEPENDENT PROVIDER

Primary specialty

Child Physical Disabilities Respite CareTaxonomy code 385HR2065X

License

385HR2065X Issued in FL

Practice address

2942 Hickory Creek Drive
Orlando, FL 32818

Phone

(407) 522-7970

Fax

(407) 522-7970

NPI assigned

Apr 17, 2008

Last updated

Apr 17, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1457525750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 680729",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32868",
            "telephone_number": "407-522-7970",
            "fax_number": "407-522-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2942 HICKORY CREEK DRIVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32818",
            "telephone_number": "407-522-7970",
            "fax_number": "407-522-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "THERESA",
        "name_prefix": "Mrs.",
        "credential": "INDEPENDENT PROVIDER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "FL",
            "license": "385HR2065X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "692253896",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "692253898",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon A Miller, PHARMD
• Sierra Miller
• Susan Miller, M.D.
• Tara Miller, PHARMD
• Taylor Renee Miller
• Tiffany Nicole Miller
• Timothy John Miller, D.P.M.
• Troy Dean Miller, RPH
• Carly Milleson, PTA
• Jamila Millette, LMHC

• Respite Care in Orlando, FL
• Providers in Orlando, FL by specialty
• Respite Care in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.