Individual provider Active NPI

Julie Miller, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Huntington Beach, CA
National Provider Identifier
1013554716
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95012705 Issued in CA
Practice address
16611 Burke LN
Huntington Beach, CA 92647-4535
Phone
(323) 940-5504
Fax
(323) 614-4749
NPI assigned
Dec 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 95012705 CA Primary
Family Nurse Practitioner 363LF0000X 95012705 CA

Addresses

Primary practice location

16611 Burke LN
Huntington Beach, CA 92647-4535

Mailing address

16611 Burke LN
Huntington Beach, CA 92647-4535
Phone (323) 940-5504

Other identifiers 1

IdentifierTypeStateIssuer
95012705MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240821001187 CA Practitioner - Nurse Practitioner 8820414154 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Psych NP, Nursing PC CurrentSince May 4, 2025 Accepting new patients
Grow Healthcare Group PC Single Specialty CurrentSince Jul 5, 2024 Accepting new patients
Sondermind PC Single Specialty CurrentSince Sep 1, 2025 Accepting new patients

Locations

16611 Burke Ln
Huntington Beach, CA 92647
Phone (323) 940-5504

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

27240 Turnberry Ln
Ste 200
Valencia, CA 91355
Phone (661) 289-6992

1460 Maria Ln
Ste 300
Walnut Creek, CA 94596
Phone (510) 214-3980

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1013554716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16611 BURKE LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926474535",
            "telephone_number": "323-940-5504",
            "fax_number": "323-614-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16611 BURKE LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926474535",
            "telephone_number": "323-940-5504",
            "fax_number": "323-614-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JULIE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-02",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95012705",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012705",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95012705",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.