Active NPI
Pamela A Miller, N.P.
- Adult Health Nurse Practitioner
- Mechanicsville, VA
National Provider Identifier
1962466771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 0024165621
- Practice address
- 7501 Right Flank Road
Suite 600
Mechanicsville, VA 23116-1815 - Phone
- (804) 559-2489
- Fax
- (804) 730-5847
- NPI assigned
- Apr 17, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 0024165621 | VA | Primary |
Addresses
Primary practice location
7501 Right Flank Road
Suite 600
Mechanicsville, VA 23116-1815
Mailing address
7202 Glen Forest Dr
Suite 200
Richmond, VA 23226-3781
Phone (804) 673-0134
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C01120 | Other | VA | MEDICARE GROUP PTAN |
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349827200000",
"number": "1962466771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7202 GLEN FOREST DR",
"address_2": "SUITE 200",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232263781",
"telephone_number": "804-673-0134",
"fax_number": "804-673-1796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7501 RIGHT FLANK ROAD",
"address_2": "SUITE 600",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231161815",
"telephone_number": "804-559-2489",
"fax_number": "804-730-5847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "PAMELA",
"middle_name": "A",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-17",
"last_updated": "2012-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "VA",
"license": "0024165621",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "C01120",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.