Sukati Lee Miller, CNA
Individual provider Active NPI Home Health Agency · Midway, FL
NPI 1740423656 · NPPES record last updated Jul 22, 2014
Key facts
- NPI
- 1740423656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 343453230813E (NY)
- Practice address
- 33870 Blue Star Hwy Apt 903
Midway, FL 32343-2433 - Phone
- (315) 395-9010
- NPI assigned
- Apr 8, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 343453230813E | NY | MD | Home Health Agency |
| 132716R | SC | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 132716R | SC | |
| Home Health Agency | 251E00000X | 343453230813E | NY | Yes |
Addresses
Primary practice location
33870 Blue Star Hwy Apt 903
Midway, FL 32343-2433
Mailing address
33870 Blue Star Hwy Apt 903
Midway, FL 32343-2433
Phone (315) 395-9010
Other providers in Midway, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.