Individual provider Active NPI

Dylan Miller, DNP

  • Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1275377715
Registry record updated Sep 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61599244 Issued in WA
Practice address
1620 14TH Ave Unit 4
Seattle, WA 98122-4064
Phone
(360) 775-6157
NPI assigned
Jun 20, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN61206990 WA
Nurse Practitioner 363L00000X AP61599244 WA Primary

Addresses

Primary practice location

1620 14TH Ave Unit 4
Seattle, WA 98122-4064

Mailing address

1620 14TH Ave Unit 4
Seattle, WA 98122-4064
Phone (360) 775-6157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20241001004098 WA Practitioner - Nurse Practitioner 0840721858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13122 120TH Ave NE
Kirkland, WA 98034-3014
Phone (425) 678-8534

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Washington Private Medicine Inc CurrentSince Oct 1, 2024 Accepting new patients

Locations

600 Jefferson St
Ste 404
Lafayette, LA 70501

13122 120th Ave NE
Kirkland, WA 98034
Phone (425) 678-8534

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJCCBD/Endpoint/BJCCBD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726963200000",
    "number": "1275377715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 14TH AVE UNIT 4",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224064",
            "telephone_number": "360-775-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 14TH AVE UNIT 4",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224064",
            "telephone_number": "360-775-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DYLAN",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-09-22",
        "certification_date": "2024-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN61206990",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61599244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.