Individual provider Active NPI

Amanda Miller, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Catonsville, MD
National Provider Identifier
1316337603
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R133494 Issued in MD
Practice address
500 N Rolling Rd
Catonsville, MD 21228-4134
Phone
(410) 788-0300
Fax
(410) 869-4472
NPI assigned
Jan 26, 2015
Last updated
Sep 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R133494 MD Primary

Addresses

Primary practice location

500 N Rolling Rd
Catonsville, MD 21228-4134

Mailing address

500 N Rolling Rd
Catonsville, MD 21228-4134
Phone (410) 788-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150504000304 MD Practitioner - Nurse Practitioner 6002135696 Reassigns benefits to 2 organizations
I20150504000890 DC Practitioner - Nurse Practitioner 6002135696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Key Point Health Services, Inc.Group PAC ID 1052307774, 30 clinicians

Practice addresses (Care Compare)

135 N Parke St
Aberdeen, MD 21001-2428
Phone (443) 625-1600

500 N Rolling Rd
Catonsville, MD 21228-4134
Phone (410) 788-0300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Key Point Health Services, Inc. CurrentSince Apr 6, 2016 Accepting new patients
Key Point Health Services, Inc. Current Accepting new patients
Psychogeriatric Services LLC CurrentSince Mar 21, 2015 Accepting new patients
Key Point Health Services, Inc CurrentSince Apr 6, 2016 Accepting new patients

Locations

135 N Parke St
Aberdeen, MD 21001
Phone (443) 625-1600

500 N Rolling Rd
Catonsville, MD 21228
Phone (410) 788-0300

4101 Old National Pike
Mount Airy, MD 21771
Phone (301) 829-0800

12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873

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": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1316337603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N ROLLING RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284134",
            "telephone_number": "410-788-0300",
            "fax_number": "410-869-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N ROLLING RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284134",
            "telephone_number": "410-788-0300",
            "fax_number": "410-869-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "AMANDA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R133494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

Verify at the official NPI Registry.