Active NPI
Michael Scott Miller, RN
- Registered Nurse
- West Pittston, PA
National Provider Identifier
1598329476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 627833
- Practice address
- 106 Susquehanna Ave
West Pittston, PA 18643-1709 - Phone
- (570) 239-3887
- NPI assigned
- Apr 26, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 627833 | PA | Primary |
Addresses
Primary practice location
106 Susquehanna Ave
West Pittston, PA 18643-1709
Mailing address
106 Susquehanna Ave
West Pittston, PA 18643-1709
Phone (570) 239-3887
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 627833 | Other | PA | DO NOT HAVE A NUMBER |
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 627833 | PA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556236800000",
"number": "1598329476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 SUSQUEHANNA AVE",
"city": "WEST PITTSTON",
"state": "PA",
"postal_code": "186431709",
"telephone_number": "570-239-3887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 SUSQUEHANNA AVE",
"city": "WEST PITTSTON",
"state": "PA",
"postal_code": "186431709",
"telephone_number": "570-239-3887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MICHAEL",
"middle_name": "SCOTT",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-26",
"last_updated": "2019-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "627833",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DO NOT HAVE A NUMBER",
"identifier": "627833",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Pittston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.