Individual provider Active NPI

Venus M. Miller, DNP,APRN,FNP,PMHP-BC

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1275785255
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP2526452 Issued in FL
Practice address
22790 SW 112TH Ave
Miami, FL 33170-7602
Phone
(305) 235-2626
Fax
(305) 235-6178
NPI assigned
Oct 21, 2008
Last updated
Nov 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP2526452 FL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN2526452 FL

Addresses

Primary practice location

22790 SW 112TH Ave
Miami, FL 33170-7602

Mailing address

27415 SW 143Rd CT
Homestead, FL 33032-8875
Phone (786) 525-9587

Other identifiers 2

IdentifierTypeStateIssuer
004175100OtherFLMEDICAID-SPECIALITY CODE -76-PSYCH MENTAL HEALTH CARE
004175101MedicaidFL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090127000501 FL Practitioner - Nurse Practitioner 8820152465 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP2526452FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Agape Network, Inc. CurrentSince Jun 25, 2021 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Aug 1, 2022 Accepting new patients
Agape Network, Inc. CurrentSince Jun 25, 2021 Accepting new patients

Locations

22790 SW 112th Ave
Miami, FL 33170
Phone (305) 235-2616

22790 SW 112th Ave
Fl Jail
Miami, FL 33170
Phone (305) 235-2616

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Interoperability endpoints

  • Direct secure messaging: vhedgemond@direct.meditouchehr.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1275785255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27415 SW 143RD CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328875",
            "telephone_number": "786-525-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22790 SW 112TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331707602",
            "telephone_number": "305-235-2626",
            "fax_number": "305-235-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "VENUS",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "DNP,APRN,FNP,PMHP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2526452",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN2526452",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID-SPECIALITY CODE -76-PSYCH MENTAL HEALTH CARE",
            "identifier": "004175100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004175101",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.