Active NPI
Alysha Miller
- Community Health Worker
- Bend, OR
National Provider Identifier
1225734346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 63140 Britta St Ste D104
Bend, OR 97703-5738 - Phone
- (888) 237-7778
- NPI assigned
- Jan 31, 2023
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | OR | Primary |
Addresses
Primary practice location
63140 Britta St Ste D104
Bend, OR 97703-5738
Mailing address
63140 Britta St Ste D104
Bend, OR 97703-5738
Phone (888) 237-7778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108233 | Medicaid | OR |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675123200000",
"number": "1225734346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63140 BRITTA ST STE D104",
"city": "BEND",
"state": "OR",
"postal_code": "977035738",
"telephone_number": "888-237-7778",
"fax_number": "541-504-3907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63140 BRITTA ST STE D104",
"city": "BEND",
"state": "OR",
"postal_code": "977035738",
"telephone_number": "888-237-7778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ALYSHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-31",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108233",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.