Individual provider Active NPI

Dawn R. Miller, FNP-BC

  • Family Nurse Practitioner
  • Berlin, OH
National Provider Identifier
1174247399
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0032352 Issued in OH
Practice address
4907 Dalbey Lane
Berlin, OH 44610
Phone
(330) 893-2341
NPI assigned
Sep 30, 2022
Last updated
Sep 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LE-00043093 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.0032352 OH Primary

Addresses

Primary practice location

4907 Dalbey Lane
Berlin, OH 44610

Mailing address

2447 Township Road 444
Sugarcreek, OH 44681-9419
Phone (330) 763-4709

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221222001422 OH Practitioner - Nurse Practitioner 0749650331 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LE-00043093OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Holmes Family Care Inc CurrentSince Jan 23, 2023 Accepting new patients
East Holmes Family Care Inc Current Accepting new patients
East Holmes Family Care Inc Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dawnmiller@ehfci.allscriptsdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1174247399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2447 TOWNSHIP ROAD 444",
            "city": "SUGARCREEK",
            "state": "OH",
            "postal_code": "446819419",
            "telephone_number": "330-763-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4907 DALBEY LANE",
            "city": "BERLIN",
            "state": "OH",
            "postal_code": "44610",
            "telephone_number": "330-893-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DAWN",
        "middle_name": "R.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "LE-00043093",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0032352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, OH

Sources for this page

Verify at the official NPI Registry.