Individual provider Active NPI

Carmen Louise Miller, ACNS-BC

  • Adult Health Clinical Nurse Specialist
  • Lenoir City, TN
National Provider Identifier
1508187048
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
15023 Issued in TN
Practice address
576 Fort Loudoun Medical Center Dr Ste 207
Lenoir City, TN 37772-5676
Phone
(865) 271-6095
Fax
(865) 271-6096
NPI assigned
Jun 18, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X 15023 TN Primary

Addresses

Primary practice location

576 Fort Loudoun Medical Center Dr Ste 207
Lenoir City, TN 37772-5676

Mailing address

1915 White Ave
Knoxville, TN 37916-2300
Phone (865) 541-1720

Other names 1

  • Carmen Louise Drinkwater Former name

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
15023TNMDAdult Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1508187048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 WHITE AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162300",
            "telephone_number": "865-541-1720",
            "fax_number": "865-541-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 FORT LOUDOUN MEDICAL CENTER DR STE 207",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725676",
            "telephone_number": "865-271-6095",
            "fax_number": "865-271-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CARMEN",
        "middle_name": "LOUISE",
        "credential": "ACNS-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-18",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TN",
            "license": "15023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "DRINKWATER",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lenoir City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; 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.