Individual provider Active NPI

Cheryl Miller, ARNP

  • Acute Care Nurse Practitioner
  • Paducah, KY
National Provider Identifier
1679613855
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1008134 Issued in KY
Practice address
2725 James Sanders Blvd
Suite a
Paducah, KY 42001-8401
Phone
(270) 554-5114
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1008134 KY Primary

Addresses

Primary practice location

2725 James Sanders Blvd
Suite a
Paducah, KY 42001-8401

Mailing address

2725 James Sanders Blvd
Suite a
Paducah, KY 42001-8401
Phone (270) 554-5114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1008134KYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HMV Diagnostics CurrentSince Oct 22, 2021 Accepting new patients
Purchase Pain Managment LLC Past Accepting new patients

Locations

5304 Mile Stretch Dr
Holiday, FL 34690
Phone (727) 940-5908

1040 Monarch St
Ste 330
Lexington, KY 40513
Phone 8772021191 ext. 313

1040 Monarch St
#330
Lexington, KY 40513
Phone 8772021191 ext. 313

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1679613855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 JAMES SANDERS BLVD",
            "address_2": "SUITE A",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420018401",
            "telephone_number": "270-554-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 JAMES SANDERS BLVD",
            "address_2": "SUITE A",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420018401",
            "telephone_number": "270-554-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CHERYL",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "1008134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.