Active NPI
Jenna M Miller, ED.D.
- Clinical Neuropsychologist
- Denver, CO
National Provider Identifier
1043784259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 0004972
- Practice address
- 400 S Colorado Blvd Ste 400
Denver, CO 80246-1246 - Phone
- (303) 322-9000
- NPI assigned
- Jan 22, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 0004972 | CO | Primary |
Addresses
Primary practice location
400 S Colorado Blvd Ste 400
Denver, CO 80246-1246
Mailing address
2749 Walnut St Apt 512
Denver, CO 80205-6013
Phone (217) 257-4823
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0004972 | CO | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1043784259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2749 WALNUT ST APT 512",
"city": "DENVER",
"state": "CO",
"postal_code": "802056013",
"telephone_number": "217-257-4823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S COLORADO BLVD STE 400",
"city": "DENVER",
"state": "CO",
"postal_code": "802461246",
"telephone_number": "303-322-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JENNA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-22",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CO",
"license": "0004972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.