Tina L Miller

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

26NO07374300 Issued in NJ

Practice address

41 Smokey Run Dr
Berlin, NJ 08009-1538

Phone

(856) 296-8829

Fax

(856) 809-2746

NPI assigned

Mar 17, 2015

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 names 1

• Ms. Tina Miller Professional name

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": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1619360526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 SMOKEY RUN DR",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080091538",
            "telephone_number": "856-296-8829",
            "fax_number": "856-809-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 SMOKEY RUN DR",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080091538",
            "telephone_number": "856-296-8829",
            "fax_number": "856-809-2746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TINA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "NJ",
            "license": "26NO07374300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "MILLER",
            "prefix": "MS.",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Katherine Mendez, MA, LAC
• Anita Johanna Menewisch, LAC, NCC
• Kristen Marie Meyer, LSW
• Amanda Middleman
• Ann Miller, DO
• Tamara Minghenelli, APN
• Julius Mingroni
• Manuel Halcon Moraleda, M.D.
• Alexander W Morgan, DTR
• Victoria Morgan, M.S.

• Ambulatory Care Registered Nurse in Berlin, NJ
• Providers in Berlin, NJ by specialty
• Ambulatory Care Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.