Individual provider Active NPI

Raini L. Miller, BSN, RN-BC, CSAC

  • Child & Adolescent Psychiatric/Mental Health Registered Nurse
  • Honolulu, HI
National Provider Identifier
1023260452
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X
License
47601 Issued in HI
Practice address
459 Patterson Road VA Pacific Islands Health Care Syste
Honolulu, HI 96819-1522
Phone
(808) 538-2518
Fax
(808) 839-1747
NPI assigned
Oct 16, 2008
Reactivated
Aug 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 47601 HI
Case Management Registered Nurse 163WC0400X 47601 HI
Medical-Surgical Registered Nurse 163WM0705X 552162 CA
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 47601 HI
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 47601 HI Primary

Addresses

Primary practice location

459 Patterson Road VA Pacific Islands Health Care Syste
Honolulu, HI 96819-1522

Mailing address

459 Patterson Road VA Pacific Islands Health Care Syste
Honolulu, HI 96819-1522
Phone (808) 538-2518

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
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
552162CAMDMedical-Surgical Registered Nurse
47601HIMDChild & Adolescent Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1023260452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 PATTERSON ROAD VA PACIFIC ISLANDS HEALTH CARE SYSTE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968191522",
            "telephone_number": "808-538-2518",
            "fax_number": "808-839-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 PATTERSON ROAD VA PACIFIC ISLANDS HEALTH CARE SYSTE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968191522",
            "telephone_number": "808-538-2518",
            "fax_number": "808-839-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RAINI",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "BSN, RN-BC, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-16",
        "last_updated": "2018-08-29",
        "deactivation_date": "2012-02-16",
        "reactivation_date": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "HI",
            "license": "47601",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "HI",
            "license": "47601",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "CA",
            "license": "552162",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "HI",
            "license": "47601",
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "HI",
            "license": "47601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.