Active NPI
Leah Roth Miller, CNM
- Advanced Practice Midwife
- Elkhart, IN
National Provider Identifier
1104222165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 71012674A
- Practice address
- 2405 W Lexington Ave
Elkhart, IN 46514-1417 - Phone
- (574) 524-7575
- Fax
- (574) 524-7576
- NPI assigned
- Nov 18, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 71012674A | IN | Primary |
| Advanced Practice Midwife | 367A00000X | 10013617 | OR |
Addresses
Primary practice location
2405 W Lexington Ave
Elkhart, IN 46514-1417
Mailing address
3245 Health Dr
Granger, IN 46530-1380
Phone (574) 647-3725
Other practice location 1
1215 Lawn Ave Ste 110
Elkhart, IN 46514-2493
Phone (574) 524-7570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300131782 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Urology, LLC | Past | Accepting new patients | |
| Women'S Healthcare Associates, LLC | Past | Accepting new patients |
Interoperability endpoints
- lmiller1469777@direct.lhs.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Portland, OR
- NPI 1629461397
-
- Rural Health Clinic/Center
- Newberg, OR
- NPI 1922987460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1104222165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3245 HEALTH DR",
"city": "GRANGER",
"state": "IN",
"postal_code": "465301380",
"telephone_number": "574-647-3725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2405 W LEXINGTON AVE",
"city": "ELKHART",
"state": "IN",
"postal_code": "465141417",
"telephone_number": "574-524-7575",
"fax_number": "574-524-7576"
}
],
"practiceLocations": [
{
"address_1": "1215 Lawn Ave Ste 110",
"address_purpose": "LOCATION",
"city": "Elkhart",
"state": "IN",
"postal_code": "465142493",
"country_code": "US",
"telephone_number": "574-524-7570",
"fax_number": "574-524-7571",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "LEAH",
"middle_name": "ROTH",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-18",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IN",
"license": "71012674A",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "OR",
"license": "10013617",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300131782",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.