Jennifer Miller, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN141271-M-IV Issued in OH

Practice address

4200 Park Ave
Ashtabula, OH 44004-6895

Phone

(440) 992-8552

NPI assigned

Sep 26, 2014

Last updated

Sep 26, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The North Coast Center

  • Community/Behavioral Health Agency
  • Ashtabula, OH
  • NPI 1043340946
  NPD (past)

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411689600000",
    "number": "1841692472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 STATE RD",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "440419357",
            "telephone_number": "440-415-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 PARK AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046895",
            "telephone_number": "440-992-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JENNIFER",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-26",
        "last_updated": "2014-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN141271-M-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Miller, CDCA
• Cynthia Miller
• Deborah Miller
• Doris P. Miller, MD
• Hailee M Miller
• Kathleen Miller
• Luetta L Miller
• Troy Mills, B.C.H.I.S.
• Mind Body & Health, LLC
• Justine Lynn Miner, LPC

• Licensed Practical Nurse in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.