Active NPI
Jacqueline Joy Miller, MD
- Pediatrics Physician
- Owings Mills, MD
National Provider Identifier
1528201969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D44901
- Practice address
- 13 Red Maple CT
Owings Mills, MD 21117-1433 - Phone
- (410) 356-1615
- Fax
- (410) 356-1615
- NPI assigned
- Apr 15, 2009
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D44901 | MD | Primary |
Addresses
Primary practice location
13 Red Maple CT
Owings Mills, MD 21117-1433
Mailing address
13 Red Maple CT
Owings Mills, MD 21117-1433
Phone (410) 356-1615
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D44901 | MD | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239753600000",
"number": "1528201969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 RED MAPLE CT",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211171433",
"telephone_number": "410-356-1615",
"fax_number": "410-356-1615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 RED MAPLE CT",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211171433",
"telephone_number": "410-356-1615",
"fax_number": "410-356-1615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JACQUELINE",
"middle_name": "JOY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-15",
"last_updated": "2009-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D44901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owings Mills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.