Active NPI
Joshua David Miller, RN, BSN
- Medical-Surgical Registered Nurse
- Roanoke Rapids, NC
National Provider Identifier
1962286997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Registered Nurse
- License
- 323232
- Practice address
- 250 Smith Church Rd
Roanoke Rapids, NC 27870-4914 - Phone
- (252) 535-8011
- NPI assigned
- Aug 21, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 323232 | NC | Primary |
Addresses
Primary practice location
250 Smith Church Rd
Roanoke Rapids, NC 27870-4914
Mailing address
308 Grandview Dr
Sneads Ferry, NC 28460-7531
Phone (919) 418-6105
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 323232 | NC | MD | Medical-Surgical Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1962286997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 GRANDVIEW DR",
"city": "SNEADS FERRY",
"state": "NC",
"postal_code": "284607531",
"telephone_number": "919-418-6105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 SMITH CHURCH RD",
"city": "ROANOKE RAPIDS",
"state": "NC",
"postal_code": "278704914",
"telephone_number": "252-535-8011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JOSHUA",
"middle_name": "DAVID",
"credential": "RN, BSN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-21",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "NC",
"license": "323232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke Rapids, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.