Active NPI
Sharon L Miller, NP
- Adult Health Nurse Practitioner
- Kenmore, NY
National Provider Identifier
1972567808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F301354
- Practice address
- 2950 Elmwood Ave
Kenmore, NY 14217-1304 - Phone
- (716) 871-0171
- Fax
- (716) 871-0173
- NPI assigned
- Apr 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | F301354 | NY | Primary |
Addresses
Primary practice location
2950 Elmwood Ave
Kenmore, NY 14217-1304
Mailing address
1390 E River Rd
Grand Island, NY 14072-2332
Phone (716) 773-3100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0002105630 | Other | NY | UNIVERA |
| 9512070 | Other | NY | INDEPENDENT HEALTH ASSOC |
| 000560226004 | Other | NY | BCBS WNY |
| 01218271 | Medicaid | NY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F301354 | NY | MD | Adult Health 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": "1211500800000",
"number": "1972567808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1390 E RIVER RD",
"city": "GRAND ISLAND",
"state": "NY",
"postal_code": "140722332",
"telephone_number": "716-773-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 ELMWOOD AVE",
"city": "KENMORE",
"state": "NY",
"postal_code": "142171304",
"telephone_number": "716-871-0171",
"fax_number": "716-871-0173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SHARON",
"middle_name": "L",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-17",
"last_updated": "2008-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F301354",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "0002105630",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH ASSOC",
"identifier": "9512070",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS WNY",
"identifier": "000560226004",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01218271",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kenmore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.