Individual provider Active NPI

Marguerite Elisabeth Miller, FNP-BC

  • Family Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1750995171
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-147451 Issued in AL
Practice address
1201 11TH Ave S Ste 305
Birmingham, AL 35205-3422
Phone
(205) 996-2770
NPI assigned
Sep 2, 2020
Last updated
Sep 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 202003631 AL
Family Nurse Practitioner 363LF0000X 1-147451 AL Primary

Addresses

Primary practice location

1201 11TH Ave S Ste 305
Birmingham, AL 35205-3422

Mailing address

1874 Herman Rd
Jasper, AL 35503-5535
Phone (205) 657-5877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200921001287 AL Practitioner - Nurse Practitioner 3577981745 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-147451ALMDFamily Nurse Practitioner
202003631ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Sep 1, 2020 Accepting new patients
Smith Lake Family Care LLC Family CurrentSince Oct 6, 2023 Accepting new patients

Locations

1201 11th Ave S
Ste 305
Birmingham, AL 35205
Phone (205) 939-4939

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

6610 Curry Hwy
Jasper, AL 35503
Phone (205) 295-2020

Interoperability endpoints

  • Direct secure messaging: mebaker@direct.uabmedicine.org

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1750995171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1874 HERMAN RD",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355035535",
            "telephone_number": "205-657-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 11TH AVE S STE 305",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352053422",
            "telephone_number": "205-996-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARGUERITE",
        "middle_name": "ELISABETH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "202003631",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-147451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.