Susan K Miller

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

979188 Issued in AK

Legal business name

SUSAN K MILLER

Practice address

3051 S Caryshea St
Wasilla, AK 99623-9409

Phone

(907) 715-8620

Fax

(888) 477-7735

NPI assigned

Feb 4, 2013

Last updated

Feb 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan K Miller

Title

Care Coordinator

Phone

(907) 715-8620

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1104165687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 S KNIK GOOSE BAY RD",
            "address_2": "H100",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548059",
            "telephone_number": "907-715-8620",
            "fax_number": "907-631-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 S CARYSHEA ST",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996239409",
            "telephone_number": "907-715-8620",
            "fax_number": "888-477-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN K MILLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CARE COORDINATOR",
        "authorized_official_telephone_number": "907-715-8620"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "AK",
            "license": "979188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunrise Assisted Living
• Sunrise House Assisted Living Home II (Sunrise House)
• Sunshine Community Health Center, Inc
• Surgery Center of Wasilla, LLC
• Surgical Specialists of Alaska LLC
• Susan Reed
• Susitna Mediset Services Inc (Susitna Mediset Services)
• Susitna Professional Pharmacy
• Callum Patrick Sutherland, DPT
• Jolene Grace Sutherland, RN CASE MANAGER

• Health Maintenance Organization in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Health Maintenance Organization in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.