Teresa Ann Miller

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

10204-PCS-0 Issued in NV

Practice address

3311 S Rainbow Blvd Ste 131
Las Vegas, NV 89146-6208

Phone

(702) 368-6880

Fax

(702) 213-9042

NPI assigned

Mar 14, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1972251569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 S RAINBOW BLVD STE 131",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466208",
            "telephone_number": "702-368-6880",
            "fax_number": "702-213-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 S RAINBOW BLVD STE 131",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466208",
            "telephone_number": "702-368-6880",
            "fax_number": "702-213-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TERESA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NV",
            "license": "10204-PCS-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SerenityCareLV@icloud.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Serenity Personal Care LLC",
            "address_1": "3311 S Rainbow Blvd Ste 131",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891466208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephen Marc Miller, M.D., F.A.C.S..
• Steve Miller
• Susan Fitzpatrick Miller, MFT
• Tammy Miller
• Telvin J Miller
• Teresa Marie Miller
• Theodora Marie Miller, MSED
• Thomas L. Miller, PHYSICIAN ASSISTANT
• Tiffany Amanda-Lee Miller, BS
• Tyler B Miller, DO

• In Home Supportive Care Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• In Home Supportive Care Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.