Active NPI
Janet Miller
- Athletic Trainer
- Park City, UT
National Provider Identifier
1194230722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- B-013918
- Practice address
- 1612 Ute Blvd Ste 210
Park City, UT 84098-7503 - Phone
- (435) 640-5610
- NPI assigned
- Dec 5, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | B-013918 | UT | Primary |
Addresses
Primary practice location
1612 Ute Blvd Ste 210
Park City, UT 84098-7503
Mailing address
2129 Twilight CT
Park City, UT 84060-7001
Other practice location 1
1200 Little Kate Rd
Park City, UT 84060-6965
Phone (435) 640-5610
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B-013918 | UT | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1194230722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2129 TWILIGHT CT",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840607001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1612 UTE BLVD STE 210",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840987503",
"telephone_number": "435-640-5610"
}
],
"practiceLocations": [
{
"address_1": "1200 Little Kate Rd",
"address_purpose": "LOCATION",
"city": "Park City",
"state": "UT",
"postal_code": "840606965",
"country_code": "US",
"telephone_number": "435-640-5610",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "JANET",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-05",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "UT",
"license": "B-013918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Park City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.