Active NPI
Tina Miles
- Pediatric Skilled Nursing Facility
- Garland, TX
National Provider Identifier
1487415253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Skilled Nursing Facility
- License
- NA0008421990
- Practice address
- 714 Brookdale Cir
Garland, TX 75040-3601 - Phone
- (214) 584-4164
- NPI assigned
- Jan 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Skilled Nursing Facility | 3140N1450X | NA0008421990 | TX | Primary |
Addresses
Primary practice location
714 Brookdale Cir
Garland, TX 75040-3601
Mailing address
714 Brookdale Cir
Garland, TX 75040-3601
Phone (214) 584-4164
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
| License | State | Type | Specialty |
|---|---|---|---|
| NA0008421990 | TX | MD | Pediatric Skilled Nursing Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705622400000",
"number": "1487415253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "714 BROOKDALE CIR",
"city": "GARLAND",
"state": "TX",
"postal_code": "750403601",
"telephone_number": "214-584-4164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 BROOKDALE CIR",
"city": "GARLAND",
"state": "TX",
"postal_code": "750403601",
"telephone_number": "214-584-4164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "TINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-19",
"last_updated": "2024-01-19",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "3140N1450X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
"state": "TX",
"license": "NA0008421990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.