Kelly Miller

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

043089318 Issued in IL

Practice address

22223 N 1525 East Rd
Danville, IL 61834-8200

Phone

(217) 260-3672

NPI assigned

Nov 16, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1518471259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22223 N 1525 EAST RD",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618348200",
            "telephone_number": "217-260-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22223 N 1525 EAST RD",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618348200",
            "telephone_number": "217-260-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": "043089318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063434633",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Michelson, PH.D.
• Billie J Miles, CNA
• Julius Dobe Miles, LCSW
• Melissa Miles, MSW, LSW
• Eric Lydel Miller, OTRL
• Richard Merton Miller, D.O.
• Taryn Miller, BS, MHP
• Norman Millian, M.D.
• Gail A. Mills, LCSW
• Mikala Milner

• Licensed Practical Nurse in Danville, IL
• Providers in Danville, IL by specialty
• Licensed Practical Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.