Theresa K Miley, C.R.N.P.

Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Manchester, MD

NPI 1184693129 · NPPES record last updated Dec 11, 2025

Key facts

NPI
1184693129
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License
R145616 (MD)
Practice address
3000 Manchester Rd Ste B
Manchester, MD 21102-1850
Phone
(410) 861-0066
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 15TH St N
Suite 600
Arlington, VA 22201-2292

PO Box
Suite 417829
Boston, MA 02241-7829

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin Square Hospital Center, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R145616 MD Yes
Pediatric Nurse Practitioner 363LP0200X R145616 MD

Addresses

Primary practice location

3000 Manchester Rd Ste B
Manchester, MD 21102-1850

Mailing address

517 Ponderosa Dr
Bel Air, MD 21014-5216
Phone (443) 621-2124

Other providers in Manchester, MD

All providers in Manchester, MD · Psychiatric/Mental Health Nurse Practitioner in Maryland

Sources for this page

Verify at the official NPI Registry.