Individual provider Active NPI

Pamela Elaine Miller

  • Mammography Radiologic Technologist
  • Las Vegas, NV
National Provider Identifier
1700326311
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Radiologic TechnologistTaxonomy code 2471M2300X
License
269737 Issued in NV
Practice address
842 N Hollywood Blvd
Las Vegas, NV 89110-2928
Phone
(928) 697-4311
Fax
(928) 697-4107
NPI assigned
Mar 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mammography Radiologic Technologist 2471M2300X 269737 NV Primary

Addresses

Primary practice location

842 N Hollywood Blvd
Las Vegas, NV 89110-2928

Mailing address

842 N Hollywood Blvd
Las Vegas, NV 89110-2928
Phone (928) 697-4311

Other names 1

  • Pamela Elaine Miller Professional name

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
269737NVMDMammography Radiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1700326311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 N HOLLYWOOD BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891102928",
            "telephone_number": "928-697-4311",
            "fax_number": "928-697-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 N HOLLYWOOD BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891102928",
            "telephone_number": "928-697-4311",
            "fax_number": "928-697-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "PAMELA",
        "middle_name": "ELAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471M2300X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Mammography",
            "state": "NV",
            "license": "269737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "MILLER",
            "middle_name": "ELAINE",
            "credential": "ARRT (R) (M)",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.