Active NPI
Susie Miller, R.N.
- Case Management Agency
- Texarkana, TX
National Provider Identifier
1710394333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 778719
- Practice address
- 5495 Summerhill Rd
Texarkana, TX 75503-4608 - Phone
- (903) 792-3006
- Fax
- (903) 792-3044
- NPI assigned
- Jul 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 778719 | TX | Primary |
Addresses
Primary practice location
5495 Summerhill Rd
Texarkana, TX 75503-4608
Mailing address
3308 FM 992 N
De Kalb, TX 75559-6139
Phone (903) 792-3006
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 778719 | TX | MD | Case Management Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helping Hands Homecare, LTD | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405382400000",
"number": "1710394333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3308 FM 992 N",
"city": "DE KALB",
"state": "TX",
"postal_code": "755596139",
"telephone_number": "903-792-3006",
"fax_number": "903-792-3044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5495 SUMMERHILL RD",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755034608",
"telephone_number": "903-792-3006",
"fax_number": "903-792-3044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SUSIE",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-15",
"last_updated": "2014-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "TX",
"license": "778719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.