Individual provider Active NPI

Donald Leroy Miller, BSN, RN

  • Registered Nurse
  • Kansas City, MO
National Provider Identifier
1104071117
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
148495 Issued in MO
Practice address
851 NW 45TH St
Suite 300
Kansas City, MO 64116-4612
Phone
(816) 455-3400
Fax
(816) 455-2248
NPI assigned
Nov 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 14-80206-071 KS
Registered Nurse 163W00000X 148495 MO Primary

Addresses

Primary practice location

851 NW 45TH St
Suite 300
Kansas City, MO 64116-4612

Mailing address

851 NW 45TH St
Suite 300
Kansas City, MO 64116-4612
Phone (816) 455-3400

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
14-80206-071KSMDRegistered Nurse
148495MOMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227052800000",
    "number": "1104071117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 NW 45TH ST",
            "address_2": "SUITE 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641164612",
            "telephone_number": "816-455-3400",
            "fax_number": "816-455-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 NW 45TH ST",
            "address_2": "SUITE 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641164612",
            "telephone_number": "816-455-3400",
            "fax_number": "816-455-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DONALD",
        "middle_name": "LEROY",
        "name_prefix": "Mr.",
        "credential": "BSN, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-19",
        "last_updated": "2008-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "14-80206-071",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "148495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.