Individual provider Active NPI

Sheena Tiana Miller, APRN

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1508409350
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143699 Issued in TX
Practice address
6625 Lenox Park Dr Ste 101
Memphis, TN 38115-4397
Phone
(901) 683-0024
Fax
(901) 683-0086
NPI assigned
Oct 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP143699 TX Primary
Family Nurse Practitioner 363LF0000X 872867 TX
Family Nurse Practitioner 363LF0000X 40979 TN

Addresses

Primary practice location

6625 Lenox Park Dr Ste 101
Memphis, TN 38115-4397

Mailing address

6625 Lenox Park Dr Ste 202
Memphis, TN 38115-8200
Phone (901) 683-0024

Other practice location 1

1212 Vollintine Ave Ste 101
Memphis, TN 38107-2826
Phone (901) 683-0024

Other practice location 2

6063 Mount Moriah Road Ext Ste 4
Memphis, TN 38115-2665
Phone (901) 683-0024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220202001235 NV Order and Referring Only - Nurse Practitioner 4385059872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Darsalud Community Center Inc PastSince Sep 3, 2020 Accepting new patients
Darsalud Community Center Inc Past Accepting new patients

Organizations & group practices 2

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": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1508409350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 LENOX PARK DR STE 202",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381158200",
            "telephone_number": "901-683-0024",
            "fax_number": "901-683-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 LENOX PARK DR STE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381154397",
            "telephone_number": "901-683-0024",
            "fax_number": "901-683-0086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1212 Vollintine Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381072826",
            "country_code": "US",
            "telephone_number": "901-683-0024",
            "fax_number": "901-683-0086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6063 Mount Moriah Road Ext Ste 4",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381152665",
            "country_code": "US",
            "telephone_number": "901-683-0024",
            "fax_number": "901-683-0086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SHEENA",
        "middle_name": "TIANA",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143699",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "872867",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "40979",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.