Individual provider Active NPI

Angela Marie Miller, APRN, FNP-BC

  • Nurse Practitioner
  • Sandy, UT
National Provider Identifier
1023698628
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
91334455-3102 Issued in UT
Practice address
11562 S Hickory Valley Dr
Sandy, UT 84092-5453
Phone
(435) 901-1995
NPI assigned
Apr 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 91334455-3102 UT Primary

Addresses

Primary practice location

11562 S Hickory Valley Dr
Sandy, UT 84092-5453

Mailing address

11562 S Hickory Valley Dr
Sandy, UT 84092-5453
Phone (435) 901-1995

Other practice location 1

1840 S 1300 E
Salt Lake City, UT 84105-3697
Phone (801) 832-2200

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

State licenses

LicenseStateTypeSpecialty
91334455-3102UTMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1023698628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11562 S HICKORY VALLEY DR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840925453",
            "telephone_number": "435-901-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11562 S HICKORY VALLEY DR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840925453",
            "telephone_number": "435-901-1995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1840 S 1300 E",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841053697",
            "country_code": "US",
            "telephone_number": "801-832-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-09",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "91334455-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.