Active NPI
Deborah S. Miller, LPCC
- Community Health Worker
- West Rockport, ME
National Provider Identifier
1144579566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- IXC2757
- Practice address
- 630 Rockland Street
West Rockport, ME 04865 - Phone
- (207) 236-4736
- NPI assigned
- Aug 30, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | IXC2757 | ME | Primary |
Addresses
Primary practice location
630 Rockland Street
West Rockport, ME 04865
Mailing address
P.O. Box 335
West Rockport, ME 04865
Phone (207) 236-4736
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IXC2757 | ME | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346284800000",
"number": "1144579566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 335",
"city": "WEST ROCKPORT",
"state": "ME",
"postal_code": "04865",
"telephone_number": "207-236-4736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 ROCKLAND STREET",
"city": "WEST ROCKPORT",
"state": "ME",
"postal_code": "04865",
"telephone_number": "207-236-4736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "DEBORAH",
"middle_name": "S.",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-30",
"last_updated": "2012-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "ME",
"license": "IXC2757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Rockport, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.