Loretta Miller

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

67975739 Issued in NM

Practice address

317 Bortot Dr
Gallup, NM 87301-4779

Phone

(505) 722-0023

Fax

(505) 722-6977

NPI assigned

Jul 30, 2015

Last updated

Jul 30, 2015By the provider in NPPES

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Zhon Home Care Corporation

  • In Home Supportive Care Agency
  • Albuquerque, NM
  • NPI 1215313085
  NPD (past) Authorized official
• Zhon Home Care Corporation

  • In Home Supportive Care Agency
  • Gallup, NM
  • NPI 1437594744
  NPD (past)

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1558747683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3175",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873053175",
            "telephone_number": "505-722-0023",
            "fax_number": "505-722-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 BORTOT DR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873014779",
            "telephone_number": "505-722-0023",
            "fax_number": "505-722-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LORETTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NM",
            "license": "67975739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "67975739",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Mierva, REGISTERED RN
• Judette Miguel
• Margaret Milam, RN
• Audni Genevieve Miller, PH. D. LISW
• Craig Patrick Miller, RN
• Mariah Miller, PT, DPT
• Melissa Miller, DO
• Cheray Lynn Milligan, MS, CCC-SLP
• Michelle Millikan-Wilkin, RN
• Aimee Mills

• In Home Supportive Care Agency in Gallup, NM
• Providers in Gallup, NM by specialty
• In Home Supportive Care Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.