Individual provider Active NPI

Stefanie Miller, NP

  • Family Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1144637307
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-101772 Issued in AL
Practice address
168 Mobile Infirmary Blvd
Mobile, AL 36607-3510
Phone
(251) 433-1895
Fax
(251) 433-1917
NPI assigned
Jul 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-101772 AL Primary

Addresses

Primary practice location

168 Mobile Infirmary Blvd
Mobile, AL 36607-3510

Mailing address

168 Mobile Infirmary Blvd
Mobile, AL 36607-3510
Phone (251) 433-1895

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
I20140912000289 AL Practitioner - Nurse Practitioner 0143449801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restoration Health of South Alabama IncGroup PAC ID 3971867953, 8 clinicians

Practice addresses (Care Compare)

30762 State Hwy 181
Spanish Fort, AL 36527-5672
Phone (251) 626-0732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Health of South Alabama, Inc CurrentSince Jan 1, 2021 Accepting new patients

Locations

22394 Miflin Rd
Ste 104
Foley, AL 36535
Phone (251) 408-9287

3280 Dauphin St
Bldg A
Mobile, AL 36606
Phone (251) 450-3700

30762 State Highway 181
Spanish Fort, AL 36527
Phone (251) 444-1999

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.

NPI Registry JSON

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1144637307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 MOBILE INFIRMARY BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073510",
            "telephone_number": "251-433-1895",
            "fax_number": "251-433-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 MOBILE INFIRMARY BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073510",
            "telephone_number": "251-433-1895",
            "fax_number": "251-433-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STEFANIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-101772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.