Individual provider Active NPI

Kimberly Miller, MA, CCC-A

  • Assistive Technology Practitioner Audiologist
  • Albuquerque, NM
National Provider Identifier
1043213937
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistive Technology Practitioner AudiologistTaxonomy code 231HA2400X
License
3598 Issued in NM
Practice address
10200 Corrales Rd NW
Ste E5A
Albuquerque, NM 87114-4532
Phone
(505) 890-0003
NPI assigned
May 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistive Technology Practitioner Audiologist 231HA2400X 3598 NM Primary

Addresses

Primary practice location

10200 Corrales Rd NW
Ste E5A
Albuquerque, NM 87114-4532

Mailing address

10200 Corrales Rd NW
Ste E5A
Albuquerque, NM 87114-4532
Phone (505) 890-0003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080730000493 OH Practitioner - Qualified Audiologist 0749224830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Ohio ENT Specialists IncGroup PAC ID 2163403098, 42 clinicians

Practice addresses (Care Compare)

1222 S Patterson Blvd
Suite 400
Dayton, OH 45402-2642
Phone 9374962620437

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3598NMMDAssistive Technology Practitioner Audiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Ohio ENT Specialists Inc CurrentSince Dec 1, 2017 Accepting new patients

Locations

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

1222 S Patterson Blvd
Ste 400
Dayton, OH 45402
Phone (937) 496-2600

6601 Centerville Business Pkwy
Dayton, OH 45459
Phone (937) 208-2111

9000 N Main St
Ste 320
Englewood, OH 45415
Phone (937) 496-2600

5971 Golf Club Ln
Fairfield Township, OH 45011
Phone (513) 785-4304

1930 Prime Ct
Ste 104
Troy, OH 45373
Phone (937) 832-3582

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDIFCD/Endpoint/HDIFCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/HDIFCD

Organizations & group practices 1

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1043213937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 CORRALES RD NW",
            "address_2": "STE E5A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144532",
            "telephone_number": "505-890-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 CORRALES RD NW",
            "address_2": "STE E5A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144532",
            "telephone_number": "505-890-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KIMBERLY",
        "credential": "MA, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "NM",
            "license": "3598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.