Amanda Miller, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

212884 Issued in SC

Practice address

1010 N 102ND St Ste 300
Omaha, NE 68114-2122

Phone

(619) 821-3352

NPI assigned

Jun 15, 2021

Last updated

Jun 15, 2021By 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 1

Addresses

Other names 1

• Amanda Booker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1154999233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N 102ND ST STE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N 102ND ST STE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142122",
            "telephone_number": "619-821-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "AMANDA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "SC",
            "license": "212884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BOOKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adreann L Miller, LPN
• Aiyoni Sheland Miller
• Alawra Ann Miller
• Alexandra Miller, DPT, PT
• Alivia Miller
• Anissa R Miller
• Anne Miller, MS, CCC, SLP
• August Miller, DO
• Bailey Miller
• Bailey A Miller, OT

• General Practice Registered Nurse in Omaha, NE
• Providers in Omaha, NE by specialty
• General Practice Registered Nurse in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.

Verify at the official NPI Registry.