Tracey Miller, RN

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

4704202059 Issued in MI

Practice address

6480 Technology Ave Ste a
Kalamazoo, MI 49009-8126

Phone

(269) 250-8009

NPI assigned

Aug 26, 2020

Sex

Female

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1083227375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 TECHNOLOGY AVE STE A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490098126",
            "telephone_number": "269-250-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6480 TECHNOLOGY AVE STE A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490098126",
            "telephone_number": "269-250-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TRACEY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "MI",
            "license": "4704202059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia A Miller, MD
• Renee Miller, CRNA
• Shanica Nicole Miller
• Stefvany Rae Miller, ATC
• Therese Miller
• Vanessa Miller, MA, TLLP
• Vincent Miller
• Jennifer Mills Mills, PHD
• Katherine Jean Mills, MD
• Kim Alan Mills, MD

• Ambulatory Care Registered Nurse in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Ambulatory Care Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.