Alexandra Grace Miller, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024177245 Issued in VA

Practice address

25892 N James Madison Hwy
New Canton, VA 23123-2234

Phone

(434) 581-3271

NPI assigned

Dec 29, 2016

Last updated

Jun 27, 2019By 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 4

Addresses

Other names 1

• Alexandra Grace Thees Former name

Medicare fee-for-service enrollment

Enrolled in CA, VA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Virginia Health Services IncGroup PAC ID 0345158432, shared by 19 NPIs, 94 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sentara Martha Jefferson Hospital Hospital, Charlottesville, VA, CCN 490077

Medicare enrollment (NPD)

Enrolled

Credentials

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.

• Central Virginia Health Services Inc

  dba CVHS Downtown Petersburg

  • Federally Qualified Health Center (FQHC)
  • Petersburg, VA
  • NPI 1134258601
  Medicare reassignment NPD
• Central Virginia Health Services Inc

  dba CVHS Charlottesville

  • Federally Qualified Health Center (FQHC)
  • Charlottesville, VA
  • NPI 1548632508
  Medicare reassignment NPD
• Family Health Centers of San Diego, Inc

  dba Logan Heights Family Health Center

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1447281936
  Medicare reassignment NPD
• Central Virginia Health Services Inc

  dba CVHS Buckingham

  • Federally Qualified Health Center (FQHC)
  • New Canton, VA
  • NPI 1235259607
  NPD
• Central Virginia Health Services Inc

  dba CVHS Blue Devils Health Center

  • Federally Qualified Health Center (FQHC)
  • Hopewell, VA
  • NPI 1972264869
  NPD
• Family Health Centers of San Diego Inc

  dba Logan Heights Family Health Center

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1528331287
  NPD
• Family Health Centers of San Diego, Inc

  dba Escondido Physical Health and Wellness

  • Federally Qualified Health Center (FQHC)
  • Escondido, CA
  • NPI 1356178180
  NPD
• Family Health Centers of San Diego, Inc.

  dba El Cajon Family Health Center

  • Federally Qualified Health Center (FQHC)
  • El Cajon, CA
  • NPI 1932561198
  NPD
• Central Virginia Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • New Canton, VA
  • NPI 1275512063
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Martha Jefferson Hospital

  • General Acute Care Hospital
  • Charlottesville, VA
  • NPI 1346248663
  Care Compare affiliation

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1841735883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "NEW CANTON",
            "state": "VA",
            "postal_code": "231230220",
            "telephone_number": "434-581-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25892 N JAMES MADISON HWY",
            "city": "NEW CANTON",
            "state": "VA",
            "postal_code": "231232234",
            "telephone_number": "434-581-3271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "National City",
            "state": "CA",
            "postal_code": "919503856",
            "country_code": "US",
            "telephone_number": "619-515-2399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4725 Market St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921024715",
            "country_code": "US",
            "telephone_number": "619-515-2560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ALEXANDRA",
        "middle_name": "GRACE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-29",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005394",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95005394",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024177245",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024177245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "THEES",
            "middle_name": "GRACE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• In-House Pharmacy Partners, LLC (In-House Pharmacy)
• Emma Jeffrey, DMD
• Robbie L Lewis Blackwell, MD
• Lighthouse Community Health Services, LLC (Lighthouse Pharmacy)
• Luvs Medical Transport
• Nathaniel Scott Owens, FNP-C
• Suzanne McConnell Paul, NP
• Peninsula Institute for Community Health Inc (Southeastern Virginia Health System Community Pharmacy)
• Audrey Pleasants, PA-C
• Charles Arthur Rula, M.D.

• Family Nurse Practitioner in New Canton, VA
• Providers in New Canton, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.