Active NPI
Linda Louise Miller, D.O.
- Psychiatry Physician
- Olympia, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- OP00001560
- Practice address
- 3000 Limited LN NW Ste 135
Olympia, WA 98502-2704 - Phone
- (360) 701-1715
- Fax
- (360) 943-0118
- NPI assigned
- Nov 30, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | OP00001560 | WA | Primary |
Addresses
Primary practice location
3000 Limited LN NW Ste 135
Olympia, WA 98502-2704
Mailing address
PO Box 1329
Bloomington, IN 47402-1329
Phone (812) 353-9816
Other practice location 1
3560 Bridgeport Way W
University Place, WA 98466-4446
Phone (360) 701-1715
Other practice location 2
2016 S Main St
Maryville, MO 64468-2655
Phone (660) 562-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050616001169 | WA | Practitioner - Psychiatry | 9638113905 | Practice locations: Olympia, WA |
| I20170404001350 | IN | Practitioner - Psychiatry | 9638113905 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP00001560 | WA | MD | Psychiatry Physician |
| 025207 | WA | MD | Rehabilitation Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Bloomington Inc | Current | Accepting new patients | |
| Indiana University Health Bloomington Inc | Psychiatry | Current | Accepting new patients |
| Westcare Clinic Inc PS | Past | Accepting new patients | |
| Tran Urgent Care & Wellness Centers LLC | Past | Accepting new patients |
Locations
7987 Solution Ctr
Chicago, IL 60677
601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252
727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450
714 N Senate Ave
Ste 130
Indianapolis, IN 46202
Phone (317) 963-5582
Interoperability endpoints
- https://api.platform.athenahealth.com/21373/brand/1/csg/1/fhir/r4
- lmiller78317@direct.valleymed.org
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 and National Provider Directory roles.
-
- Psychiatry Physician
- Bloomington, IN
- NPI 1871519074
-
- Community/Retail Pharmacy
- Bloomington, IN
- NPI 1922640077
-
- Urgent Care Clinic/Center
- Tacoma, WA
- NPI 1003446857
-
- General Practice Physician
- Renton, WA
- NPI 1881769552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573171200000",
"number": "1306914346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1329",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474021329",
"telephone_number": "812-353-9816",
"fax_number": "812-353-5228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 LIMITED LN NW STE 135",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985022704",
"telephone_number": "360-701-1715",
"fax_number": "360-943-0118"
}
],
"practiceLocations": [
{
"address_1": "3560 Bridgeport Way W",
"address_purpose": "LOCATION",
"city": "University Place",
"state": "WA",
"postal_code": "984664446",
"country_code": "US",
"telephone_number": "360-701-1715",
"fax_number": "360-943-0118",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2016 S Main St",
"address_purpose": "LOCATION",
"city": "Maryville",
"state": "MO",
"postal_code": "644682655",
"country_code": "US",
"telephone_number": "660-562-2600",
"fax_number": "660-562-7911",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "LINDA",
"middle_name": "LOUISE",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2019-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "OP00001560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.