Individual provider Active NPI

Melanie Rose Miller, CNM

  • Advanced Practice Midwife
  • Sylvania, OH
National Provider Identifier
1154672145
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
236429 Issued in CA
Practice address
5308 Harroun Rd
Suite 175
Sylvania, OH 43560-2114
Phone
(419) 824-5608
Fax
(419) 882-3686
NPI assigned
Oct 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN302920-COA1 OH
Advanced Practice Midwife 367A00000X COA13801-NM OH
Advanced Practice Midwife 367A00000X 236429 CA Primary

Addresses

Primary practice location

5308 Harroun Rd
Suite 175
Sylvania, OH 43560-2114

Mailing address

409 N Hayworth Ave Apt 209
Los Angeles, CA 90048-2881
Phone (419) 290-1499

Other practice location 1

1513 S Grand Ave Ste 220
Los Angeles, CA 90015-3075
Phone (213) 747-5542

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130219000276 OH Practitioner - Certified Nurse Midwife (CNM) 0244485464 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN302920-COA1OHMDRegistered Nurse
236429CAMDAdvanced Practice Midwife
COA13801-NMOHMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Jan 3, 2013 Accepting new patients
Promedica Central Physicians CurrentSince Jan 3, 2013 Accepting new patients
Pediatric and Family Medical Center Past Accepting new patients
Pediatric and Family Medical Center Past Accepting new patients

Locations

5308 Harroun Rd
Ste 175
Sylvania, OH 43560
Phone (419) 824-5608

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

Interoperability endpoints

  • Direct secure messaging: melanie.miller.1@28334.direct.athenahealth.com

Organizations & group practices 4

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": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1154672145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 N HAYWORTH AVE APT 209",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900482881",
            "telephone_number": "419-290-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5308 HARROUN RD",
            "address_2": "SUITE 175",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602114",
            "telephone_number": "419-824-5608",
            "fax_number": "419-882-3686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1513 S Grand Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900153075",
            "country_code": "US",
            "telephone_number": "213-747-5542",
            "fax_number": "213-342-3431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MELANIE",
        "middle_name": "ROSE",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-01",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN302920-COA1",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "COA13801-NM",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "236429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

Verify at the official NPI Registry.