Active NPI
Kendra Brooke Decker Miller, FNP
- Family Nurse Practitioner
- Canon City, CO
National Provider Identifier
1306532791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0998633-NP
- Practice address
- 326 Main St
Canon City, CO 81212-3732 - Phone
- (719) 441-9255
- NPI assigned
- Apr 18, 2023
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0998633-NP | CO | Primary |
| Registered Nurse | 163W00000X | 0200873 | CO |
Addresses
Primary practice location
326 Main St
Canon City, CO 81212-3732
Mailing address
326 Main St
Canon City, CO 81212-3732
Phone (719) 441-9255
Other names 1
- Kendra Brooke Decker
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0200873 | CO | MD | Registered Nurse |
| 0998633-NP | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Primary Care | Past | Accepting new patients |
Interoperability endpoints
- summitprimarycare.kendradecker@157142.advancedmd-direct.com
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.
-
- Family Medicine Physician
- Englewood, CO
- NPI 1356962849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1306532791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 MAIN ST",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812123732",
"telephone_number": "719-441-9255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 MAIN ST",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812123732",
"telephone_number": "719-441-9255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KENDRA",
"middle_name": "BROOKE DECKER",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-18",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "0998633-NP",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "0200873",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KENDRA",
"last_name": "DECKER",
"middle_name": "BROOKE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Canon City, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.