Lashelll Marie Miller

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Practice address

310 Mid Continent PLZ Ste 604D
West Memphis, AR 72301-1763

Phone

(870) 394-9464

NPI assigned

Aug 31, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Bailey'S Mobile Lab

  • Clinical Medical Laboratory
  • West Memphis, AR
  • NPI 1922883438

  Clinic/Center

  NPD

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1679358188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MID CONTINENT PLZ STE 604D",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723011763",
            "telephone_number": "870-394-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MID CONTINENT PLZ STE 604D",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723011763",
            "telephone_number": "870-394-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LASHELLL",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midsouth Essential Shared Group Living
• Antoinette Miller
• Daniel Seth Miller, LPTA
• Frederick Miller, MHPP
• James Lee Miller, MD
• Erica Mills
• Dorothy Milon
• Fernando Mina
• Stephanie Marie Montgomery
• Tabitha Montgomery

• Health Service Clinic/Center in West Memphis, AR
• Providers in West Memphis, AR by specialty
• Health Service Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.