Chalyn Raine Miller, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

1-152058 Issued in AL

Practice address

1924K Dauphin Island Pkwy
Mobile, AL 36605-3004

Phone

(251) 308-9800

Fax

(877) 413-5104

NPI assigned

Mar 15, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Alabama Mso LLC

  • Family Medicine Physician
  • Cullman, AL
  • NPI 1740073980

  Single Specialty

  Medicare reassignment NPD
• Mid-South Home Care Services, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Dothan, AL
  • NPI 1922535400

  Single Specialty

  Medicare reassignment NPD
• Mid-South Home Care Services, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Mobile, AL
  • NPI 1407361371

  Single Specialty

  NPD
• Mid-South Home Care Services, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Alpharetta, GA
  • NPI 1154207769

  Single Specialty

  NPD

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1215685656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 DYKES RD S",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366088437",
            "telephone_number": "251-214-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924K DAUPHIN ISLAND PKWY",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366053004",
            "telephone_number": "251-308-9800",
            "fax_number": "877-413-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CHALYN",
        "middle_name": "RAINE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-152058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Millenniarx Gulf
• Adam Miller
• Adrienna Miller
• Bailey C Miller
• Bruce Miller, PHARMACIST
• Chelsea Ross Miller, M.D.
• Christopher Miller
• Cody Ryan Miller, DO
• Denise Nelson Miller, OCCUPATIONAL THERAPI
• Diantha Davis Miller, C.R.N.P.

• Adult Health Nurse Practitioner in Mobile, AL
• Providers in Mobile, AL by specialty
• Adult Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.