Active NPI
Krista Miller, PA
- Physician Assistant
- Englewood, CO
National Provider Identifier
1063079986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.0007014
- Practice address
- 601 E Hampden Ave Ste 310
Englewood, CO 80113-2769 - Phone
- (706) 863-9595
- Fax
- (706) 868-8375
- NPI assigned
- May 27, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.0007014 | CO | Primary |
Addresses
Primary practice location
601 E Hampden Ave Ste 310
Englewood, CO 80113-2769
Mailing address
PO Box 12330
Augusta, GA 30914-2330
Phone (706) 863-9595
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | KRISTA.MILLER@hca3.eclinicaldirectplus.com |
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)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burn and Reconstructive Centers of Colorado | Current | Accepting new patients |
Locations
601 E Hampden Ave
Ste 310
Englewood, CO 80113
Phone (303) 788-6466
Interoperability endpoints
- krista.miller@hca3.eclinicaldirectplus.com
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.
-
- Specialist
- Englewood, CO
- NPI 1952796484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643241600000",
"number": "1063079986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12330",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309142330",
"telephone_number": "706-863-9595",
"fax_number": "706-868-8375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E HAMPDEN AVE STE 310",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801132769",
"telephone_number": "706-863-9595",
"fax_number": "706-868-8375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KRISTA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-27",
"last_updated": "2022-01-27",
"certification_date": "2021-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0007014",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "KRISTA.MILLER@hca3.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "601 E Hampden Ave Ste 310",
"city": "Englewood",
"state": "CO",
"country_code": "US",
"postal_code": "801132769",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.