Active NPI
Shelley Miller
- Registered Nurse
- Richmond, IN
National Provider Identifier
1790355139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 28138671A
- Practice address
- 2401 S L St
Richmond, IN 47374-7439 - Phone
- (765) 256-0875
- NPI assigned
- Jun 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28138671A | IN | Primary |
Addresses
Primary practice location
2401 S L St
Richmond, IN 47374-7439
Mailing address
506 Lissaaron Dr
Winchester, IN 47394-2299
Phone (765) 256-0875
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shelley.miller@trilogyhs.com | Trilogy Healthcare of Louisville Southwest, LLC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28138671A | IN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624838400000",
"number": "1790355139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 LISSAARON DR",
"city": "WINCHESTER",
"state": "IN",
"postal_code": "473942299",
"telephone_number": "765-256-0875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 S L ST",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473747439",
"telephone_number": "765-256-0875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SHELLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-28",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28138671A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shelley.miller@trilogyhs.com",
"affiliation": "Y",
"endpointDescription": "work",
"affiliationName": "Trilogy Healthcare of Louisville Southwest, LLC",
"address_1": "2401 S L St",
"city": "Richmond",
"state": "IN",
"country_code": "US",
"postal_code": "473747439",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Richmond, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.