Elise Rose Miller

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

2376 Issued in MN

Practice address

3131 Fernbrook LN N
Suite 102
Plymouth, MN 55447-5321

Phone

(763) 553-9097

Fax

(763) 553-9098

NPI assigned

Mar 19, 2007

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104940832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22107 WOODLAND LN",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553749763",
            "telephone_number": "763-498-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 FERNBROOK LN N",
            "address_2": "SUITE 102",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554475321",
            "telephone_number": "763-553-9097",
            "fax_number": "763-553-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ELISE",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MN",
            "license": "2376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Millennium Home Care
• Ahna Xiaofan Miller
• Brian Richard Miller, MD
• Cassandra Jean Miller, MS, OTR/L
• Dawn McDougal Miller, MME, MT-BC
• Jessica Miller
• Kelsey Miller
• Matthew S Miller, BS
• Merida A Miller, M.D.
• Samuel James Miller, DPT

• Hearing Instrument Specialist in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Hearing Instrument Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.