Kristine Miller

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

1075 Oxford Hill Rd
O Fallon, IL 62269-6821

Phone

(618) 973-0253

NPI assigned

Aug 8, 2022

Last updated

Dec 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gateway Region Young Men's Christian Association

  • Health Educator
  • Saint Louis, MO
  • NPI 1780131557
  NPD

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1144957259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 SCOTT AVE STE D",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631033009",
            "telephone_number": "314-669-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 OXFORD HILL RD",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622696821",
            "telephone_number": "618-973-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Spine and Rehab Corp
• Stephanie Ellen Milam, MD
• Alison Joye Miller, APN
• Dana Miller
• Kelsey Miller, MS SLP
• Sheri Lynn Miller, MS, LMFT, LCPC
• Rachel Minelli, PH.D.
• Sara Beth Minnick, D.C.
• Armand G Miranda, D.O.
• Savannah M Missey

• Health Educator in O'Fallon, IL
• Providers in O'Fallon, IL by specialty
• Health Educator in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.