Kanisha L. Miller, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP11002017 Issued in FL

Practice address

201 W Plymouth Ave
Deland, FL 32720-2753

Phone

(407) 732-4272

Fax

(407) 732-4579

NPI assigned

May 24, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Saafe Behavioral Services LLCGroup PAC ID 5092943241, 11 clinicians

Practice addresses (Care Compare)

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.

• Saafe Behavioral Services LLC

  • Community/Behavioral Health Agency
  • Deland, FL
  • NPI 1154757557
  Medicare reassignment Care Compare group
• Saafe Health Services LLC

  • Addiction (Substance Use Disorder) Psychologist
  • Daytona Beach, FL
  • NPI 1497048284
  NPD

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1265099238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 RIDGE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323057006",
            "telephone_number": "850-443-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W PLYMOUTH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202753",
            "telephone_number": "407-732-4272",
            "fax_number": "407-732-4579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3993 W 1st St",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "FL",
            "postal_code": "327719726",
            "country_code": "US",
            "telephone_number": "386-873-2963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KANISHA",
        "middle_name": "L.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-24",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP11002017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Milburn, RBT
• Courtney Le Ann Steblein Miller, PA-C
• Danielle Renee Miller, AGACNP
• Jackie Robinson Miller, DO
• Jill Elizabeth Miller, LMT
• Kristi Michelle Gittner Miller, MA
• Michelle Diane Miller
• Noraland Miller, C.N.A
• Shelby Miller
• Andrew David Mills, D.P.T

• Nurse Practitioner in Deland, FL
• Providers in Deland, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.