Shavon Miller, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

0002079835 Issued in VA

Practice address

337 Edwin Dr Ste 200
Virginia Beach, VA 23462-4560

Phone

(757) 822-9403

NPI assigned

Dec 1, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Freedom Wellness, LLC

  • Clinical Medical Laboratory
  • Virginia Beach, VA
  • NPI 1891384061
  NPD Authorized official

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1598360331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 EDWIN DR STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 EDWIN DR STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624560",
            "telephone_number": "757-822-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SHAVON",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "VA",
            "license": "0002079835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan M Miller, BCBA
• Mellissa L Miller, LPC
• Mitchell B Miller, MD
• Renee Ann Miller
• Serina Miller
• Staciann Shashonna Miller, LMT
• Stephen L Miller, PTA
• Steven Charles Miller, MD, JD
• Thomas A Miller, M.S. CCC-SLP
• Tracy Miller

• Licensed Practical Nurse in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Licensed Practical Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.