Deborah E Miller, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

002591 Issued in CT

Practice address

7648 Camminare Dr
Sarasota, FL 34238-4774

Phone

(203) 451-0838

NPI assigned

Mar 22, 2007

Last updated

Mar 4, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/bridgesct/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center of Revitalizing Psychiatry PC

  • Adult Mental Health Clinic/Center
  • Sarasota, FL
  • NPI 1538572854
  NPD (past)
• Bridges Healthcare Inc.

  • Adult Mental Health Clinic/Center
  • Milford, CT
  • NPI 1851350300
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1083731582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7648 CAMMINARE DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342384774",
            "telephone_number": "203-451-0838",
            "fax_number": "800-905-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7648 CAMMINARE DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342384774",
            "telephone_number": "203-451-0838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 East Ave Ste 313",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CT",
            "postal_code": "068515014",
            "country_code": "US",
            "telephone_number": "203-451-0838",
            "fax_number": "800-905-4566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DEBORAH",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "002591",
            "primary": true
        },
        {
            "code": "364SP0813X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Geropsychiatric",
            "state": "FL",
            "license": "9375336",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONRTOLLED SUBSTANCE",
            "identifier": "31544",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Lisa Millbourn, M.A., CCC SLP
• Millennium Physician Group LLC
• Millennium Physician Group LLC
• Amie J. Miller, APRN
• Daryl L Miller, MD
• Deniecia L Miller
• Elizabeth K. Miller, ARNP
• Harmony Alleyne Miller, L.M.
• Holly Jean Miller, MPT
• Ida Kay Miller, CRNA

• Psychiatric/Mental Health Nurse Practitioner in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.

Verify at the official NPI Registry.