Stephanie Lourdes Miller, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA23083 Issued in CA

Practice address

12040 South Lakes Drive, Suite 207
Generations Family Practice
Reston, VA 20191

Phone

(703) 464-0686

NPI assigned

Aug 2, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406851200000",
    "number": "1982036786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42283 RHETT DR",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201485727",
            "telephone_number": "530-908-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12040 SOUTH LAKES DRIVE, SUITE 207",
            "address_2": "GENERATIONS FAMILY PRACTICE",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "20191",
            "telephone_number": "703-464-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STEPHANIE",
        "middle_name": "LOURDES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-02",
        "last_updated": "2014-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA23083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miller Eyecare Reston, LLC (My Eye Dr.)
• Melanie Miller-Cvilikas, LCSW
• Betsy Anne Miller, MS, CNS, LDN
• David R Miller, M.D.
• James Steven Miller, MA
• John Millikin
• Danielle Mills, LPC, LMHC, CRC
• Jasmine Gabrelle Mills
• Kelly Mills, PA-C
• Johnnie Brooks Milom, R.PH.

• Physician Assistant in Reston, VA
• Providers in Reston, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; 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.