Individual provider Active NPI

Kathryn Nichole Miller, LM, CPM, RN

  • Midwife
  • Wesley Chapel, FL
National Provider Identifier
1174959951
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW278 Issued in FL
Practice address
30415 Birdhouse Dr
Wesley Chapel, FL 33545-1301
Phone
(813) 506-1823
NPI assigned
Sep 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X MW278 FL Primary

Addresses

Primary practice location

30415 Birdhouse Dr
Wesley Chapel, FL 33545-1301

Mailing address

30415 Birdhouse Dr
Wesley Chapel, FL 33545-1301
Phone (813) 506-1823

Other identifiers 1

IdentifierTypeStateIssuer
009778500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
MW278FLMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1174959951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30415 BIRDHOUSE DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335451301",
            "telephone_number": "813-506-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30415 BIRDHOUSE DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335451301",
            "telephone_number": "813-506-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KATHRYN",
        "middle_name": "NICHOLE",
        "credential": "LM, CPM, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "MW278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009778500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.