Mary Ellen Miller, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN 044148 Issued in OH

Practice address

40722 State Route 154
Lisbon, OH 44432-8500

Phone

(330) 424-9573

Fax

(330) 424-0877

NPI assigned

Oct 18, 2016

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

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1609327360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444320429",
            "telephone_number": "330-424-9573",
            "fax_number": "330-424-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40722 STATE ROUTE 154",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444328500",
            "telephone_number": "330-424-9573",
            "fax_number": "330-424-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN 044148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Alan Mercer, RN
• Renee Meyer, LPC
• Mikouis Enterprises, Inc., Dba Sunrise Homes
• Mikouis Home Delivery Healthcare, LLC
• Miller Holdings Sunrise, Inc.
• Nicole Miller
• Carla Sue Moats
• Tracy L Moore Chestnut
• Morgans Drug Store Incorporated
• Shari L Morrison

• Licensed Practical Nurse in Lisbon, OH
• Providers in Lisbon, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.