Active NPI
Jerica Taylor Miller
- Certified Registered Nurse Anesthetist
- Charleston, WV
National Provider Identifier
1215723341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 123634
- Practice address
- 800 Pennsylvania Ave
Charleston, WV 25302-3351 - Phone
- (304) 388-5432
- NPI assigned
- Apr 16, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Certified Registered Nurse Anesthetist | 367500000X | 123634 | WV | Primary |
Addresses
Primary practice location
800 Pennsylvania Ave
Charleston, WV 25302-3351
Mailing address
263 Caney Branch Rd
Chapmanville, WV 25508-5743
Phone (304) 784-4263
Other practice location 1
1220 Lee St E # Na
Charleston, WV 25301-1863
Phone (304) 388-1825
Other practice location 2
1306 Kanawha Blvd E
Charleston, WV 25301-3001
Phone (304) 388-5432
Other practice location 3
501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-5432
Other practice location 4
1400 Hospital Dr
Hurricane, WV 25526-9202
Phone (304) 757-1700
Other practice location 5
3200 MacCorkle Ave SE
Charleston, WV 25304-1227
Phone (304) 388-5432
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 |
|---|---|---|---|
| 123634 | WV | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1215723341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 CANEY BRANCH RD",
"city": "CHAPMANVILLE",
"state": "WV",
"postal_code": "255085743",
"telephone_number": "304-784-4263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 PENNSYLVANIA AVE",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253023351",
"telephone_number": "304-388-5432"
}
],
"practiceLocations": [
{
"address_1": "1220 Lee St E # Na",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253011863",
"country_code": "US",
"telephone_number": "304-388-1825",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1306 Kanawha Blvd E",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253013001",
"country_code": "US",
"telephone_number": "304-388-5432",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 Morris St",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253011326",
"country_code": "US",
"telephone_number": "304-388-5432",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Hurricane",
"state": "WV",
"postal_code": "255269202",
"country_code": "US",
"telephone_number": "304-757-1700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3200 MacCorkle Ave SE",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253041227",
"country_code": "US",
"telephone_number": "304-388-5432",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "JERICA",
"middle_name": "TAYLOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-16",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WV",
"license": "123634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.