Active NPI
Antoinette Marie Miller, AU.D
- Audiologist
- Burbank, CA
National Provider Identifier
1144814070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU958
- Practice address
- 2211 W Magnolia Blvd Ste 260
Burbank, CA 91506-1770 - Phone
- (818) 859-7730
- Fax
- (818) 952-1130
- NPI assigned
- Feb 22, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU958 | CA | Primary |
Addresses
Primary practice location
2211 W Magnolia Blvd Ste 260
Burbank, CA 91506-1770
Mailing address
2211 W Magnolia Blvd Ste 260
Burbank, CA 91506-1770
Phone (818) 859-7730
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 |
|---|---|---|---|
| AU958 | CA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1144814070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 W MAGNOLIA BLVD STE 260",
"city": "BURBANK",
"state": "CA",
"postal_code": "915061770",
"telephone_number": "818-859-7730",
"fax_number": "818-952-1130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 W MAGNOLIA BLVD STE 260",
"city": "BURBANK",
"state": "CA",
"postal_code": "915061770",
"telephone_number": "818-859-7730",
"fax_number": "818-952-1130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ANTOINETTE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "AU.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-22",
"last_updated": "2021-02-22",
"certification_date": "2021-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.