Ella Marie Miles, L.V.N.,B.B.A.

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

631 Cresent Dr
Desoto, TX 75115-8017

Phone

(469) 235-2390

NPI assigned

Mar 24, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Business Administration

Practice roles

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.

• 1Derfull Minds, Inc.

  • Community/Behavioral Health Agency
  • Desoto, TX
  • NPI 1487318671
  NPD Authorized official

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1750708152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 CRESENT DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751158017",
            "telephone_number": "469-235-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 CRESENT DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751158017",
            "telephone_number": "469-235-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "ELLA",
        "middle_name": "MARIE",
        "credential": "L.V.N.,B.B.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metroplex Medlink PA
• Gladys Michieka, PA-C
• Micky Gautam, D.O., P.a.
• Mid-Cities Imaging, L.P.
• Midcities Medical Supply Dmepos
• Freddie L Miller Jr.
• Adrian Mills, CNM
• Milo'S Health & Beauty, LLC
• Mind Renwal
• Mind Spa Inc

• All providers in Desoto, TX
• Community Health Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.