Active NPI
Lori Miller
- Family Nurse Practitioner
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP5167
- Practice address
- 18591 N 59TH Ave
Glendale, AZ 85308-1251 - Phone
- (866) 389-2728
- NPI assigned
- Sep 20, 2013
- Last updated
- Apr 17, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP5167 | AZ | Primary |
Addresses
Primary practice location
18591 N 59TH Ave
Glendale, AZ 85308-1251
Mailing address
18591 N 59TH Ave
Glendale, AZ 85308-1251
Phone (866) 389-2727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3210 E Union Hills Dr
Phoenix, AZ 85050-3223
Phone (866) 389-2727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP5167 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
28138 N Tatum Blvd
Cave Creek, AZ 85331
Phone (480) 585-6097
18591 N 59th Ave
Glendale, AZ 85308
Phone (602) 789-0438
8332 W Thunderbird Rd
Peoria, AZ 85381
Phone (623) 776-3006
3210 E Union Hills Dr
Phoenix, AZ 85050
Phone (602) 788-4793
10650 N Oracle Rd
Tucson, AZ 85737
Phone (520) 544-5544
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650153600000",
"number": "1578999637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18591 N 59TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853081251",
"telephone_number": "866-389-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18591 N 59TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853081251",
"telephone_number": "866-389-2728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "LORI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-20",
"last_updated": "2022-04-17",
"certification_date": "2022-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP5167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.