Active NPI
Deborah Ann Miller, APRN-BC/NURSE PRAC
- Psychiatric/Mental Health Nurse Practitioner
- Casper, WY
National Provider Identifier
1114149655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 21811.0306
- Practice address
- 111 W 2ND St
Suite 305
Casper, WY 82601-2464 - Phone
- (307) 262-1165
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 21811.0306 | WY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 21811.0306 | WY | Primary |
Addresses
Primary practice location
111 W 2ND St
Suite 305
Casper, WY 82601-2464
Mailing address
PO Box 50213
Casper, WY 82605-0213
Phone (307) 262-1165
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wind City Physical Therapy | Past | Accepting new patients |
Interoperability endpoints
- deborah.miller@direct.wyomingmedicalcenter.org
Organizations & group practices 1
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.
-
- Physical Therapist
- Casper, WY
- NPI 1114501954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446595200000",
"number": "1114149655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50213",
"city": "CASPER",
"state": "WY",
"postal_code": "826050213",
"telephone_number": "307-262-1165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W 2ND ST",
"address_2": "SUITE 305",
"city": "CASPER",
"state": "WY",
"postal_code": "826012464",
"telephone_number": "307-262-1165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "DEBORAH",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "APRN-BC/NURSE PRAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2015-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WY",
"license": "21811.0306",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WY",
"license": "21811.0306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.