Individual provider Active NPI

Gary Curtis Miller, L.P.N., C.M.A., C.N.

  • Licensed Practical Nurse
  • Carlisle, PA
National Provider Identifier
1639422371
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN290986 Issued in PA
Practice address
102 S West St
Suite # 7
Carlisle, PA 17013-2857
Phone
(443) 564-7894
NPI assigned
Oct 18, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN290986 PA Primary
Licensed Practical Nurse 164W00000X LP47744 MD

Addresses

Primary practice location

102 S West St
Suite # 7
Carlisle, PA 17013-2857

Mailing address

102 S West St
Suite # 7
Carlisle, PA 17013-2857
Phone (443) 564-7894

Other names 1

  • Mr. Gary Curtis Miller Professional name

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
Credentials
Certified Medical Assistant

State licenses

LicenseStateTypeSpecialty
LP47744MDMDLicensed Practical Nurse
PN290986PAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1639422371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S WEST ST",
            "address_2": "SUITE # 7",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170132857",
            "telephone_number": "443-564-7894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S WEST ST",
            "address_2": "SUITE # 7",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170132857",
            "telephone_number": "443-564-7894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "GARY",
        "middle_name": "CURTIS",
        "name_prefix": "Mr.",
        "credential": "L.P.N., C.M.A., C.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN290986",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MD",
            "license": "LP47744",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GARY",
            "last_name": "MILLER",
            "middle_name": "CURTIS",
            "prefix": "MR.",
            "credential": "L.P.N.,C.M.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.