Active NPI
Charman Lyn McCain Miller, NP
- Nurse Practitioner
- Jackson, OH
National Provider Identifier
1720163579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP-07285
- Practice address
- 8668 State Route 93
Jackson, OH 45640-9728 - Phone
- (740) 286-5026
- NPI assigned
- Oct 26, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP-07285 | OH | Primary |
Addresses
Primary practice location
8668 State Route 93
Jackson, OH 45640-9728
Mailing address
341 S Park Ave
Oak Hill, OH 45656-1301
Phone (740) 682-3499
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000361020 | Other | OH | BLUE SHIELD |
| 2382434 | Medicaid | OH | |
| P00188701 | Other | OH | RR MEDICARE |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP-07285 | OH | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720163579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 S PARK AVE",
"city": "OAK HILL",
"state": "OH",
"postal_code": "456561301",
"telephone_number": "740-682-3499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8668 STATE ROUTE 93",
"city": "JACKSON",
"state": "OH",
"postal_code": "456409728",
"telephone_number": "740-286-5026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "CHARMAN",
"middle_name": "LYN MCCAIN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "NP-07285",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000000361020",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2382434",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00188701",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jackson, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.