Individual provider Active NPI

Maria Miller, DNP, APRN, PCNS-BC

  • Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1477064186
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9278887 Issued in FL
Practice address
3599 University Blvd S
Jacksonville, FL 32216-4252
Phone
(904) 345-7016
NPI assigned
Oct 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN9278887 FL Primary
Pediatric Clinical Nurse Specialist 364SP0200X CNS9278887 FL

Addresses

Primary practice location

3599 University Blvd S
Jacksonville, FL 32216-4252

Mailing address

53727 Carrington Dr
Callahan, FL 32011-8677
Phone (904) 874-1711

Other practice location 1

5150 Timuquana Rd Ste 9
Jacksonville, FL 32210
Phone (904) 253-1120

Other practice location 2

900 University Blvd N
Jacksonville, FL 32211-5530
Phone (904) 253-1100

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

State licenses

LicenseStateTypeSpecialty
APRN9278887FLMDNurse Practitioner
CNS9278887FLMDPediatric Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1477064186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53727 CARRINGTON DR",
            "city": "CALLAHAN",
            "state": "FL",
            "postal_code": "320118677",
            "telephone_number": "904-874-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164252",
            "telephone_number": "904-345-7016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5150 Timuquana Rd Ste 9",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "32210",
            "country_code": "US",
            "telephone_number": "904-253-1120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 University Blvd N",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322115530",
            "country_code": "US",
            "telephone_number": "904-253-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARIA",
        "credential": "DNP, APRN, PCNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-20",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9278887",
            "primary": true
        },
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "FL",
            "license": "CNS9278887",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.