Active NPI
Jamie M Miller, SURGICAL FIRST ASSIT
- Technician/Technologist
- Baton Rouge, LA
National Provider Identifier
1780258574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician/Technologist
- Practice address
- 5233 Dijon Dr
Baton Rouge, LA 70808-4692 - Phone
- (225) 761-8687
- Fax
- (225) 761-8688
- NPI assigned
- May 17, 2021
- 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 |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | Primary |
Addresses
Primary practice location
5233 Dijon Dr
Baton Rouge, LA 70808-4692
Mailing address
5233 Dijon Dr
Baton Rouge, LA 70808-4692
Phone (225) 761-8687
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201440 | Medicaid | LA |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621209600000",
"number": "1780258574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5233 DIJON DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708084692",
"telephone_number": "225-761-8687",
"fax_number": "225-761-8688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5233 DIJON DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708084692",
"telephone_number": "225-761-8687",
"fax_number": "225-761-8688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JAMIE",
"middle_name": "M",
"credential": "SURGICAL FIRST ASSIT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-17",
"last_updated": "2021-05-17",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201440",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.