Active NPI
Amanda Jan Miller, MS ATC CSCS
- Athletic Trainer
- Birmingham, AL
National Provider Identifier
1215068762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 942
- Practice address
- 805 Saint Vincents Dr
Suite 100
Birmingham, AL 35205-1636 - Phone
- (205) 939-3699
- Fax
- (205) 581-7155
- NPI assigned
- Mar 8, 2007
- 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 | 942 | AL | Primary |
Addresses
Primary practice location
805 Saint Vincents Dr
Suite 100
Birmingham, AL 35205-1636
Mailing address
805 Saint Vincents Dr
Suite 100
Birmingham, AL 35205-1636
Phone (205) 939-3699
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 |
|---|---|---|---|
| 942 | AL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298851200000",
"number": "1215068762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 SAINT VINCENTS DR",
"address_2": "SUITE 100",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352051636",
"telephone_number": "205-939-3699",
"fax_number": "205-581-7155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 SAINT VINCENTS DR",
"address_2": "SUITE 100",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352051636",
"telephone_number": "205-939-3699",
"fax_number": "205-581-7155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "AMANDA",
"middle_name": "JAN",
"name_prefix": "Miss",
"credential": "MS ATC CSCS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2011-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.