NPIMap

Individual provider Active NPI

Paula Sue Miller, NP

  • Adult Health Nurse Practitioner
  • Lewisville, TX
National Provider Identifier
1730229394
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
538607 Issued in TX
Practice address
2560 King Arthur Blvd Ste 124
Lewisville, TX 75056-5818
Phone
(972) 999-5265
Fax
(972) 899-0362
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 538607 TX Primary

Addresses

Primary practice location

2560 King Arthur Blvd Ste 124
Lewisville, TX 75056-5818

Mailing address

2560 King Arthur Blvd Ste 124
Lewisville, TX 75056-5818
Phone (972) 999-5265

Other identifiers 3

IdentifierTypeStateIssuer
170836407MedicaidTX
170836406MedicaidTX
170836408MedicaidTX

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey a Stone DO PA Past Accepting new patients
Srilatha a. Reddy, M.D., P.a PastSince Oct 15, 2001 Accepting new patients
Housecall Doctors of North Texas PA Past Accepting new patients
Physician House Calls of Texas LLC Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224028800000",
    "number": "1730229394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 KING ARTHUR BLVD STE 124",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750565818",
            "telephone_number": "972-999-5265",
            "fax_number": "972-899-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 KING ARTHUR BLVD STE 124",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750565818",
            "telephone_number": "972-999-5265",
            "fax_number": "972-899-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "PAULA",
        "middle_name": "SUE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "538607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170836407",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170836406",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170836408",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; 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.