Active NPI
Melanie Rose Miller, CNM
- Advanced Practice Midwife
- Sylvania, OH
National Provider Identifier
1154672145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 236429
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN302920-COA1 | OH | MD | Registered Nurse |
| 236429 | CA | MD | Advanced Practice Midwife |
| COA13801-NM | OH | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Central Physicians | Current | Accepting new patients | |
| Promedica Central Physicians | Current | 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
- 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.
-
- Family Medicine Physician
- Toledo, OH
- NPI 1043270150
-
- Durable Medical Equipment & Medical Supplies
- Toledo, OH
- NPI 1669068482
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1720468804
-
- Federally Qualified Health Center (FQHC)
- Sherman Oaks, CA
- NPI 1982075107
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.