Individual provider Active NPI

Karen C Miller, RN

  • Community Health Registered Nurse
  • Fort Worth, TX
National Provider Identifier
1487068185
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
752523 Issued in TX
Practice address
1500 Circle Dr
Suite 300
Fort Worth, TX 76119-8118
Phone
(817) 413-6320
Fax
(817) 850-2307
NPI assigned
Jun 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 752523 TX Primary

Addresses

Primary practice location

1500 Circle Dr
Suite 300
Fort Worth, TX 76119-8118

Mailing address

1500 Circle Dr
Suite 300
Fort Worth, TX 76119-8118
Phone (817) 413-6320

Other identifiers 1

IdentifierTypeStateIssuer
1124323191OtherTXTCPH

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

LicenseStateTypeSpecialty
752523TXMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403222400000",
    "number": "1487068185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 CIRCLE DR",
            "address_2": "SUITE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761198118",
            "telephone_number": "817-413-6320",
            "fax_number": "817-850-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 CIRCLE DR",
            "address_2": "SUITE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761198118",
            "telephone_number": "817-413-6320",
            "fax_number": "817-850-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KAREN",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "TX",
            "license": "752523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TCPH",
            "identifier": "1124323191",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.