Individual provider Active NPI

Wendy Paige Miller, CRNP

  • Adult Health Nurse Practitioner
  • Gadsden, AL
National Provider Identifier
1124502331
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1-100566 Issued in AL
Practice address
515 S 3Rd St
Gadsden, AL 35901-5301
Phone
(256) 547-4971
Fax
(256) 547-9755
NPI assigned
Sep 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 1-100566 AL
Allergy Physician 207KA0200X 1-100566 AL
Geriatric Medicine (Family Medicine) Physician 207QG0300X 1-100566 AL
Adult Health Nurse Practitioner 363LA2200X 1-100566 AL Primary

Addresses

Primary practice location

515 S 3Rd St
Gadsden, AL 35901-5301

Mailing address

515 S 3Rd St
Gadsden, AL 35901-5301
Phone (256) 547-4971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231011002660 AL Order and Referring Only - Nurse Practitioner 5698941029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-100566ALMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Services-Gadsden Physician Management LLC CurrentSince Dec 11, 2023 Accepting new patients
The Rumley Center PC PastSince Jan 5, 2012 Accepting new patients

Locations

515 S 3rd St
Gadsden, AL 35901
Phone (256) 413-6520

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10998/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ms_wmille31@landmarkhealth-direct.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.

NPI Registry JSON

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1124502331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S 3RD ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015301",
            "telephone_number": "256-547-4971",
            "fax_number": "256-547-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S 3RD ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015301",
            "telephone_number": "256-547-4971",
            "fax_number": "256-547-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "WENDY",
        "middle_name": "PAIGE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "AL",
            "license": "1-100566",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "AL",
            "license": "1-100566",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "AL",
            "license": "1-100566",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-100566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.