Gloria Jean Miner, LPN IV CERTIFIED

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

034027 Issued in MO

Practice address

5471 Dr. Martin Luther King Dr.
St. Louis, MO 63112-4265

Phone

(314) 367-5820

Fax

(314) 367-7010

NPI assigned

Jan 6, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231200000000",
    "number": "1710123153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5471 DR. MARTIN LUTHER KING DR.",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631124265",
            "telephone_number": "314-367-5820",
            "fax_number": "314-367-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5471 DR. MARTIN LUTHER KING DR.",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631124265",
            "telephone_number": "314-367-5820",
            "fax_number": "314-367-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINER",
        "first_name": "GLORIA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LPN IV CERTIFIED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MO",
            "license": "034027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindful Counseling LLC
• Mindful Solutions Counseling, LLC
• Mindful Way Therapy
• Mindshift Consulting LLC
• Craig Steven Miner, LPC, MA, BA
• Rance Miner, HAIR LOSS SPECIALIST
• Mineral Area Pathology, LLC
• Ming Care Services, LLC
• Corey N Ming-Lum, MD
• David Minges, MD

• Licensed Practical Nurse in St. Louis, MO
• Providers in St. Louis, MO by specialty
• Licensed Practical Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.