Individual provider Active NPI

Blondena Unlia Miley, FNP

  • Family Nurse Practitioner
  • Lake Havasu City, AZ
National Provider Identifier
1013580687
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
258518 Issued in AZ
Practice address
309 Lake Havasu Ave S
Lake Havasu City, AZ 86403-9309
Phone
(928) 453-1970
Fax
(855) 538-3082
NPI assigned
Jul 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 258518 AZ Primary
Primary Care Nurse Practitioner 363LP2300X 258518 AZ

Addresses

Primary practice location

309 Lake Havasu Ave S
Lake Havasu City, AZ 86403-9309

Mailing address

309 Lake Havasu Ave S
Lake Havasu City, AZ 86403-9309
Phone (928) 453-1970

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address blondie.miley@lpnt.net Direct HRMC, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20211201002556 AZ Practitioner - Nurse Practitioner 9133519309 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians

Practice addresses (Care Compare)

285 Lake Havasu Ave S
Suite 100
Lake Havasu City, AZ 86403-0852
Phone (928) 208-4598

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.66 of 100Reported as individual
Quality
82.68
Promoting interoperability
99
Improvement activities
40
Cost
70.36

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Raghav LLC Primary Care CurrentSince Jun 16, 2025 Accepting new patients
Prescott Healthcare Solutions LLC Family CurrentSince Jun 16, 2025 Accepting new patients
Lakeside Heart and Vascular Center PLLC CurrentSince Nov 1, 2021 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

2500 Canyon Rd
Ste A1
Bullhead City, AZ 86442
Phone (928) 704-4499

285 Lake Havasu Ave S
Ste 100
Lake Havasu City, AZ 86403
Phone (928) 208-4598

309 Lake Havasu Ave S
Lake Havasu City, AZ 86403
Phone (928) 453-1970

1840 Mesquite Ave
Ste H
Lk Havasu Cty, AZ 86403
Phone (928) 855-4224

1840 Mesquite Ave
Ste F
Lk Havasu Cty, AZ 86403

1810 Mesquite Ave
Ste A
Lk Havasu Cty, AZ 86403
Phone (520) 855-5146

2082 Mesquite Ave
Ste 100A
Lk Havasu Cty, AZ 86403
Phone (928) 453-2828

1016 S Joshua Ave
Parker, AZ 85344
Phone (927) 669-6425

3151 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 458-7583

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/lapaz-b154c12f
  • Direct secure messaging: blondena.miley.1@3291.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3291/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1013580687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 LAKE HAVASU AVE S",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864039309",
            "telephone_number": "928-453-1970",
            "fax_number": "855-538-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 LAKE HAVASU AVE S",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864039309",
            "telephone_number": "928-453-1970",
            "fax_number": "855-538-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILEY",
        "first_name": "BLONDENA",
        "middle_name": "UNLIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "258518",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "258518",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "blondie.miley@lpnt.net",
            "affiliation": "Y",
            "endpointDescription": "Secure work email",
            "affiliationName": "HRMC, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1741 Mesquite Ave Ste 200A",
            "city": "Lake Havasu City",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "864035689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

Verify at the official NPI Registry.