Individual provider Active NPI

Keri Jay Miller, CREDENTIALED NURSE

  • School Registered Nurse
  • Vista, CA
National Provider Identifier
1871060806
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
585603 Issued in CA
Practice address
1 Panther Way
Vista, CA 92084-3128
Phone
(760) 936-3825
Fax
(760) 643-2539
NPI assigned
Oct 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 585603 CA Primary

Addresses

Primary practice location

1 Panther Way
Vista, CA 92084-3128

Mailing address

1 Panther Way
Vista, CA 92084-3128
Phone (760) 936-3825

Other practice location 1

325 E Bobier Dr
Vista, CA 92084-3027
Phone (760) 936-3825

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

LicenseStateTypeSpecialty
585603CAMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1871060806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PANTHER WAY",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920843128",
            "telephone_number": "760-936-3825",
            "fax_number": "760-643-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PANTHER WAY",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920843128",
            "telephone_number": "760-936-3825",
            "fax_number": "760-643-2539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 E Bobier Dr",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920843027",
            "country_code": "US",
            "telephone_number": "760-936-3825",
            "fax_number": "760-945-4399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KERI",
        "middle_name": "JAY",
        "name_prefix": "Mrs.",
        "credential": "CREDENTIALED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "CA",
            "license": "585603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.