Minie Tiquaysha Miller, EMT/HEALTH CARE SPEC

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

B1196362 Issued in AL

Practice address

BLDG 301 Andrews Ave
Lyster Army Health Clinic
Fort Rucker, AL 36362-5333

Phone

(334) 255-7218

Fax

(334) 222-7729

NPI assigned

Mar 28, 2008

Sex

Female

Sole proprietor

No

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

Credentials

Emergency Medical Technician

State licenses

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1689846727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLDG 301 ANDREWS AVE",
            "address_2": "LYSTER ARMY HEALTH CLINIC",
            "city": "FORT RUCKER",
            "state": "AL",
            "postal_code": "363625333",
            "telephone_number": "334-255-7218",
            "fax_number": "334-222-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 301 ANDREWS AVE",
            "address_2": "LYSTER ARMY HEALTH CLINIC",
            "city": "FORT RUCKER",
            "state": "AL",
            "postal_code": "363625333",
            "telephone_number": "334-255-7218",
            "fax_number": "334-222-7729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MINIE",
        "middle_name": "TIQUAYSHA",
        "credential": "EMT/HEALTH CARE SPEC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "AL",
            "license": "B1196362",
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julissa Mendoza, M.D.
• Mary Sue Mercer
• Rebecca S Merritt, RN
• Nicole M Mesch, RN
• Michelle Lynn Miller, PSY.D
• Opal D Miller, LPN
• Amy Mitchell, PTA
• Deseree Moe, NREMT-B
• Feroze John Mohammad, P.A.-C
• Jeffrey Mohr, PTA

• Basic Emergency Medical Technician in Fort Rucker, AL
• Providers in Fort Rucker, AL by specialty
• Basic Emergency Medical Technician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.