Active NPI
Sally Ann Miller, MED, LAT, ATC
- Athletic Trainer
- Emporia, KS
National Provider Identifier
1013468479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 24-00999
- Practice address
- 1921 W 24TH Avenue
Apt 6a
Emporia, KS 66801-9400 - Phone
- (304) 282-3606
- NPI assigned
- Oct 20, 2016
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 24-00999 | KS | Primary |
Addresses
Primary practice location
1921 W 24TH Avenue
Apt 6a
Emporia, KS 66801-9400
Mailing address
1921 W 24TH Ave
Apt 6a
Emporia, KS 66801-5740
Phone (304) 282-3606
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24-00999 | KS | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476921600000",
"number": "1013468479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1921 W 24TH AVE",
"address_2": "APT 6A",
"city": "EMPORIA",
"state": "KS",
"postal_code": "668015740",
"telephone_number": "304-282-3606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 W 24TH AVENUE",
"address_2": "APT 6A",
"city": "EMPORIA",
"state": "KS",
"postal_code": "668019400",
"telephone_number": "304-282-3606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SALLY",
"middle_name": "ANN",
"name_prefix": "Miss",
"credential": "MED, LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-20",
"last_updated": "2016-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "KS",
"license": "24-00999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Emporia, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.