Active NPI
Antoinette Miller
- Respite Care
- Goodyear, AZ
National Provider Identifier
1003452749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- License
- 13650767
- Practice address
- 15820 W Jefferson St
Goodyear, AZ 85338-6893 - Phone
- (602) 708-0240
- NPI assigned
- Nov 18, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | 13650767 | AZ | |
| Respite Care | 385H00000X | 13650767 | AZ | Primary |
Addresses
Primary practice location
15820 W Jefferson St
Goodyear, AZ 85338-6893
Mailing address
6141 E Grant Rd BLDG a
Tucson, AZ 85712-5829
Phone (602) 708-0240
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1003452749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6141 E GRANT RD BLDG A",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857125829",
"telephone_number": "602-708-0240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15820 W JEFFERSON ST",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853386893",
"telephone_number": "602-708-0240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ANTOINETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-18",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "AZ",
"license": "13650767",
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "AZ",
"license": "13650767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.