Shawn Alexander Miller, IANMT

Primary specialty

Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X

License

MT.0011670 Issued in CO

Practice address

822 Carriage Dr
Milliken, CO 80543-3099

Phone

(303) 564-3693

NPI assigned

Nov 10, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1083087282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 CARRIAGE DR",
            "city": "MILLIKEN",
            "state": "CO",
            "postal_code": "80543",
            "telephone_number": "303-564-3693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 CARRIAGE DR",
            "city": "MILLIKEN",
            "state": "CO",
            "postal_code": "805433099",
            "telephone_number": "303-564-3693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SHAWN",
        "middle_name": "ALEXANDER",
        "credential": "IANMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081N0008X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "CO",
            "license": "MT.0011670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Hoff
• Evan P Johnson
• Monica Kaven
• Krystle Mason
• Amber McIvor, M.A., CCC-SLP
• Mountain View Neurocare, LLC
• Paramount Iom, LLC
• Sarah Peterson
• Ronald Quaife
• Kali Reuterskiold-Mocelin, M.A.

• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Milliken, CO
• Providers in Milliken, CO by specialty
• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.