Marsha Patrice Miller, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN1316831 Issued in FL

Practice address

1583 West 18TH Street
Jacksonville, FL 32209-4866

Phone

(904) 888-1493

Fax

(904) 354-0830

NPI assigned

Nov 1, 2011

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Ultimate Healthcare LLC

  • Nursing Care Agency
  • Jacksonville, FL
  • NPI 1376043505
  NPD Authorized official

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1629354899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12305",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322090305",
            "telephone_number": "904-234-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1583 WEST 18TH STREET",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322094866",
            "telephone_number": "904-888-1493",
            "fax_number": "904-354-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARSHA",
        "middle_name": "PATRICE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-01",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN1316831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "689294900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "685158496",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Anne Miller
• Lisa L Miller, RPH
• Lolita Miller
• Luke Miller
• Maria Miller, DNP, APRN, PCNS-BC
• Megan Miller, PHARM D
• Melonie Denise Miller
• Michiko Miller, FNP
• Miranda Ann Miller, APRN
• Nancy S Miller, MD

• Licensed Practical Nurse in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.