Active NPI
Lisa Wise Miller, RN
- Registered Nurse
- Ninety Six, SC
National Provider Identifier
1497949655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 88687
- Practice address
- 306 N Church St
Ninety Six, SC 29666-1019 - Phone
- (864) 684-7899
- Fax
- (864) 543-2425
- NPI assigned
- Aug 30, 2007
- Last updated
- Aug 30, 2007
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 88687 | SC | Primary |
Addresses
Primary practice location
306 N Church St
Ninety Six, SC 29666-1019
Mailing address
306 N Church St
Ninety Six, SC 29666-1019
Phone (864) 684-7899
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
| License | State | Type | Specialty |
|---|---|---|---|
| 88687 | SC | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188432000000",
"number": "1497949655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 N CHURCH ST",
"city": "NINETY SIX",
"state": "SC",
"postal_code": "296661019",
"telephone_number": "864-684-7899",
"fax_number": "864-543-2425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 N CHURCH ST",
"city": "NINETY SIX",
"state": "SC",
"postal_code": "296661019",
"telephone_number": "864-684-7899",
"fax_number": "864-543-2425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "LISA",
"middle_name": "WISE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-30",
"last_updated": "2007-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "88687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ninety Six, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.