Individual provider Active NPI

Shari Kay Miles, APRN

  • Acute Care Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1942843339
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP143627 Issued in TX
Practice address
3480 College St
Beaumont, TX 77701-4612
Phone
(409) 813-1677
Fax
(409) 813-1699
NPI assigned
Oct 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP143627 TX
Acute Care Nurse Practitioner 363LA2100X AP143627 TX Primary

Addresses

Primary practice location

3480 College St
Beaumont, TX 77701-4612

Mailing address

175 Crestwood Dr
Silsbee, TX 77656-2315
Phone (409) 273-5158

Other practice location 1

3406 College St
Beaumont, TX 77701-4612
Phone (409) 813-1677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20191219001174 TX Practitioner - Nurse Practitioner 9436583747 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Villagehealth DM LLC CurrentSince May 1, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 24, 2023 Accepting new patients
Diagnostic Group Integrated Healthcare System PLLC Acute Care CurrentSince Dec 2, 2019 Accepting new patients

Locations

3406 College St
Beaumont, TX 77701
Phone (409) 730-2031

3480 College St
Beaumont, TX 77701
Phone (409) 212-5480

3080 College St
Beaumont, TX 77701
Phone (409) 212-5000

3406 College St
Ste 200
Beaumont, TX 77701
Phone (409) 730-2022

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

1382 Lomaland Dr
Ste B
El Paso, TX 79935
Phone (720) 631-2400

288 Country Lane Dr
Lumberton, TX 77657
Phone (409) 227-4413

2200 Highway 365
Nederland, TX 77627
Phone (409) 722-4321

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1942843339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 CRESTWOOD DR",
            "city": "SILSBEE",
            "state": "TX",
            "postal_code": "776562315",
            "telephone_number": "409-273-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 COLLEGE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014612",
            "telephone_number": "409-813-1677",
            "fax_number": "409-813-1699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3406 College St",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777014612",
            "country_code": "US",
            "telephone_number": "409-813-1677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILES",
        "first_name": "SHARI",
        "middle_name": "KAY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-18",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP143627",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP143627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.