Individual provider Active NPI

Elizabeth Mae Miller, FNP-BC

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1790328235
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26717 Issued in TN
Practice address
4435 Valley View Dr
Knoxville, TN 37917-1300
Phone
(865) 544-6222
Fax
(865) 544-6223
NPI assigned
Oct 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26717 TN Primary

Addresses

Primary practice location

4435 Valley View Dr
Knoxville, TN 37917-1300

Mailing address

4435 Valley View Dr
Knoxville, TN 37917-1300
Phone (865) 544-6222

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Elizabeth.weatherford@lhcgroup.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20200421003148 TN Practitioner - Nurse Practitioner 2264862903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26717TNMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: elizabeth.weatherford@lhcgroup.com

NPI Registry JSON

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1790328235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 VALLEY VIEW DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379171300",
            "telephone_number": "865-544-6222",
            "fax_number": "865-544-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 VALLEY VIEW DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379171300",
            "telephone_number": "865-544-6222",
            "fax_number": "865-544-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ELIZABETH",
        "middle_name": "MAE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "26717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Elizabeth.weatherford@lhcgroup.com",
            "affiliation": "N",
            "address_1": "4435 Valley View Dr",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379171300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.