Individual provider Active NPI

Linda Louise Miller, D.O.

  • Psychiatry Physician
  • Olympia, WA
National Provider Identifier
1306914346
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OP00001560 Issued in WA
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

Updated by the provider on Nov 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
OP00001560WAMDPsychiatry Physician
025207WAMDRehabilitation Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Bloomington Inc CurrentSince Mar 1, 2017 Accepting new patients
Indiana University Health Bloomington Inc Psychiatry CurrentSince Mar 1, 2017 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

  • FHIR API: https://api.platform.athenahealth.com/21373/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.