Active NPI
Barbara R Miller, FNP
- Family Nurse Practitioner
- Blacksburg, VA
National Provider Identifier
1992705941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0017137391
- Practice address
- 2617 Sheffield Dr
New River Dermatology
Blacksburg, VA 24060-8271 - Phone
- (540) 953-2210
- Fax
- (540) 951-9112
- NPI assigned
- Jul 29, 2005
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0017137391 | VA | Primary |
Addresses
Primary practice location
2617 Sheffield Dr
New River Dermatology
Blacksburg, VA 24060-8271
Mailing address
2617 Sheffield Dr
Blacksburg, VA 24060-8271
Phone (540) 953-2210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5901928 | Medicaid | VA |
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 |
|---|---|---|---|
| 0017137391 | VA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294358400000",
"number": "1992705941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2617 SHEFFIELD DR",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240608271",
"telephone_number": "540-953-2210",
"fax_number": "540-951-9112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2617 SHEFFIELD DR",
"address_2": "NEW RIVER DERMATOLOGY",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240608271",
"telephone_number": "540-953-2210",
"fax_number": "540-951-9112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "BARBARA",
"middle_name": "R",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-29",
"last_updated": "2011-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0017137391",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5901928",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Blacksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.