Active NPI
Susan Christine Miller, C.R.N.P
- Nurse Practitioner
- Pasadena, MD
National Provider Identifier
1750331393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R045657
- Practice address
- 8028 Ritchie Hwy
Suite 210B
Pasadena, MD 21122-1075 - Phone
- (410) 766-1995
- NPI assigned
- May 12, 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 | R045657 | MD | Primary |
Addresses
Primary practice location
8028 Ritchie Hwy
Suite 210B
Pasadena, MD 21122-1075
Mailing address
8028 Ritchie Hwy
Suite 210B
Pasadena, MD 21122-1075
Phone (410) 766-1995
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 |
|---|---|---|---|
| R045657 | MD | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202688000000",
"number": "1750331393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8028 RITCHIE HWY",
"address_2": "SUITE 210B",
"city": "PASADENA",
"state": "MD",
"postal_code": "211221075",
"telephone_number": "410-766-1995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8028 RITCHIE HWY",
"address_2": "SUITE 210B",
"city": "PASADENA",
"state": "MD",
"postal_code": "211221075",
"telephone_number": "410-766-1995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SUSAN",
"middle_name": "CHRISTINE",
"credential": "C.R.N.P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2008-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R045657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.