Individual provider Active NPI

Ruby Sheree Miller, DNP, FNP-BC

  • Family Nurse Practitioner
  • Hammond, LA
National Provider Identifier
1710024179
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP04833 Issued in LA
Practice address
15825 Professional PLZ
Suite C
Hammond, LA 70403-1497
Phone
(985) 662-5723
Fax
(985) 662-5718
NPI assigned
Feb 1, 2007
Last updated
Apr 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP04833 LA Primary

Addresses

Primary practice location

15825 Professional PLZ
Suite C
Hammond, LA 70403-1497

Mailing address

15825 Professional PLZ
Suite C
Hammond, LA 70403-1497
Phone (985) 662-5723

Other identifiers 1

IdentifierTypeStateIssuer
1000426MedicaidLA

Other names 1

  • Ruby Vernon Miller Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070420000489 LA Practitioner - Nurse Practitioner 3779688635 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital City Medical Group, L.L.C.Group PAC ID 8628252392, 38 clinicians

Practice addresses (Care Compare)

42078 Veterans Ave
E2 Primary Care Plus Hammond
Hammond, LA 70403-1490
Phone (985) 727-8075

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP04833LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SLR Holdings LLC Family CurrentSince Nov 23, 2018 Accepting new patients
Capital City Medical Group, L.L.C. CurrentSince Sep 21, 2022 Accepting new patients
SLR Holdings LLC Current Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Oct 6, 2024 Accepting new patients
George Keshelava, MD LLC CurrentSince Mar 1, 2016 Accepting new patients
Frank J Arena MD, Apmc Past Accepting new patients
Cynthia Kudji LLC Family Past Accepting new patients
Nurses Per Diem LLC Family PastSince Jun 22, 2013 Accepting new patients
Iteld Bernstein and Associates LLC Nurse Practitioner Past Accepting new patients

Locations

1970 N Highway 190
Covington, LA 70433
Phone (985) 400-5988

1970 N Highway 190
Ste 100
Covington, LA 70433

39 Starbrush Cir
Covington, LA 70433
Phone (985) 871-4155

42078 Veterans Ave
Ste E2
Hammond, LA 70403
Phone (985) 727-8075

131 Corporate Dr
Houma, LA 70360
Phone (985) 293-2300

201 Saint Charles Ave
Ste 2500
New Orleans, LA 70170
Phone (504) 224-6402

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1710024179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15825 PROFESSIONAL PLZ",
            "address_2": "SUITE C",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031497",
            "telephone_number": "985-662-5723",
            "fax_number": "985-662-5718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15825 PROFESSIONAL PLZ",
            "address_2": "SUITE C",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031497",
            "telephone_number": "985-662-5723",
            "fax_number": "985-662-5718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RUBY",
        "middle_name": "SHEREE",
        "name_prefix": "Mrs.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP04833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000426",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUBY",
            "last_name": "MILLER",
            "middle_name": "VERNON",
            "credential": "DNP, FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.