Active NPI
Brittany Nicole Miller, APRN FNP-C
- Family Nurse Practitioner
- Canton, IL
National Provider Identifier
1619375532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.011454
- Practice address
- 1300 E Locust St
Canton, IL 61520-0008 - Phone
- (309) 647-7030
- NPI assigned
- Dec 9, 2014
- 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 | 209.011454 | IL | Primary |
Addresses
Primary practice location
1300 E Locust St
Canton, IL 61520-0008
Mailing address
415 N Ewing St
Tallula, IL 62688-9764
Phone (217) 691-3189
Other names 1
- Brittany Nicole Beard
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.011454 | IL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544400000000",
"number": "1619375532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 N EWING ST",
"city": "TALLULA",
"state": "IL",
"postal_code": "626889764",
"telephone_number": "217-691-3189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 E LOCUST ST",
"city": "CANTON",
"state": "IL",
"postal_code": "615200008",
"telephone_number": "309-647-7030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "BRITTANY",
"middle_name": "NICOLE",
"credential": "APRN FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-09",
"last_updated": "2018-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.011454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRITTANY",
"last_name": "BEARD",
"middle_name": "NICOLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Canton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.