Individual provider Active NPI

Angela Yvonne Miller

  • Non-emergency Medical Transport (VAN)
  • Streetsboro, OH
National Provider Identifier
1700031523
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
150935 Issued in OH
Practice address
9261 Shady Lake Dr
G204
Streetsboro, OH 44241-5279
Phone
(330) 626-3737
Fax
(330) 626-3737
NPI assigned
Nov 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 150935 OH Primary

Addresses

Primary practice location

9261 Shady Lake Dr
G204
Streetsboro, OH 44241-5279

Mailing address

9261 Shady Lake Dr
G204
Streetsboro, OH 44241-5279
Phone (330) 626-3737

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

State licenses

LicenseStateTypeSpecialty
150935OHMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1700031523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9261 SHADY LAKE DR",
            "address_2": "G204",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442415279",
            "telephone_number": "330-626-3737",
            "fax_number": "330-626-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9261 SHADY LAKE DR",
            "address_2": "G204",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442415279",
            "telephone_number": "330-626-3737",
            "fax_number": "330-626-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANGELA",
        "middle_name": "YVONNE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "150935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Streetsboro, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.