Nadette D Miller, LPN

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

029376-01 Issued in NY

Practice address

19215 Williamson Ave
Springfield Gardens, NY 11413-1544

Phone

(347) 307-5021

NPI assigned

Jan 31, 2008

Last updated

Jul 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1730367871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19215 WILLIAMSON AVE",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114131544",
            "telephone_number": "347-307-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19215 WILLIAMSON AVE",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114131544",
            "telephone_number": "347-307-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "NADETTE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-31",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "265020-1",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "029376-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tashiena K McKenzie
• Medryxa LLC
• Johanne E Megie
• Sarah Michel
• Karen C Miller, LPN
• Sherria Miller
• Soleil Dorcy Minnella, M.A.
• Nanda Sharmila Misir
• Nisanah Montgomery
• Hyacinth Agatha Morant, RN

• Massage Therapist in Springfield Gardens, NY
• Providers in Springfield Gardens, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.