Susan Rebecca Miller

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

6212 Lake Lugano Dr
Jacksonville, FL 32256-8439

Phone

(904) 608-4232

NPI assigned

Nov 16, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1659037497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6212 LAKE LUGANO DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322568439",
            "telephone_number": "904-608-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6212 LAKE LUGANO DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322568439",
            "telephone_number": "904-608-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SUSAN",
        "middle_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Miller, PA-C
• Sarah Chapple Miller
• Sarah Johanna Miller, LCSW
• Steffi Miller
• Stephanie Melissa Miller, LMT
• Tabitha C. Miller, PAC
• Terrisha L Miller
• Thomas Miller, DDS
• Victoria Miller
• Ellen Milleson, RBT

• Health Educator in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Health Educator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.