Individual provider Active NPI

Regina Ann Miles, FNP

  • Registered Nurse
  • Greeley, CO
National Provider Identifier
1508026188
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
111750 Issued in CO
Practice address
644 52ND Ave
Greeley, CO 80634-4434
Phone
(970) 378-0452
NPI assigned
Jun 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 111750 CO Primary

Addresses

Primary practice location

644 52ND Ave
Greeley, CO 80634-4434

Mailing address

644 52ND Ave
Greeley, CO 80634-4434
Phone (970) 378-0452

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5749COMDPsychologist
111750COMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Longmont Pulmonary and Critical Care Associates, PC Past Accepting new patients
Gateway to Success, PC Past Accepting new patients
Gateway to Success, PC Past Accepting new patients
Gateway to Success, PC Past Accepting new patients
Gateway to Success, PC Past Accepting new patients
Gateway to Success, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: regina.miles.1@31545.direct.athenahealth.com

Organizations & group practices 6

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": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1508026188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 52ND AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344434",
            "telephone_number": "970-378-0452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 52ND AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344434",
            "telephone_number": "970-378-0452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "REGINA",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "111750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

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