Lavita Lashonna Miller, CNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0031280 Issued in OH

Practice address

1223 Market Ave N
Canton, OH 44714-2603

Phone

(234) 999-4900

NPI assigned

Jun 1, 2022

Last updated

Jul 15, 2023By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Rakesh Ranjan M.D. & Assoc., Inc.

  dba Charak Center for Health and Wellness

  • Clinical Medical Laboratory
  • Garfield Heights, OH
  • NPI 1033143722

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Rakesh Ranjan MD & Associates, Inc.

  dba CCHW Pharmacy

  • Specialty Pharmacy
  • Garfield Heights, OH
  • NPI 1225435597
  NPD

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689379200000",
    "number": "1801535687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 MARKET AVE N",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447142603",
            "telephone_number": "234-999-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 MARKET AVE N",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447142603",
            "telephone_number": "234-999-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LAVITA",
        "middle_name": "LASHONNA",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2023-07-15",
        "certification_date": "2023-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0031280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "377935",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katilynn E Miller, QMHS BA CMS
• Kellee S Miller
• Kelly Miller, PTA
• Kenzie Miller
• Lauren Miller, ED.S.
• Lori Miller
• Meagan Amanda Miller, CNP
• Megan Miller
• Michelle Miller
• Miranda Miller, RN, RNFA

• Psychiatric/Mental Health Nurse Practitioner in Canton, OH
• Providers in Canton, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.