Edie L Miller, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN122146 Issued in AZ

Practice address

2624 E South Mountain Ave
Phoenix, AZ 85042-8220

Phone

(602) 304-3170

Fax

(602) 304-3182

NPI assigned

Aug 15, 2011

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1013296532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 E SOUTH MOUNTAIN AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850428220",
            "telephone_number": "602-304-3170",
            "fax_number": "602-304-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 E SOUTH MOUNTAIN AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850428220",
            "telephone_number": "602-304-3170",
            "fax_number": "602-304-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "EDIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN122146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LICENSE",
            "identifier": "RN122146",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Nicole Miller, HIS
• Denise Ann Miller, M.A.,CCC-SLP
• Dennis Miller, MD
• Dennis Michael Miller, DC
• Dominic Marco Miller, LCSW
• Emily Miller, OTR/L
• Emily Miller, M.D.
• Eric Miller
• Erik Emmanuel Miller
• Evan Miller, OD

• Registered Nurse in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.

Verify at the official NPI Registry.