Active NPI
Angel Jo Miller, CNM
- Advanced Practice Midwife
- Damascus, MD
National Provider Identifier
1316969520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- R193165
- Practice address
- 26005 Ridge Rd
Suite 200
Damascus, MD 20872-1892 - Phone
- (301) 414-2300
- Fax
- (301) 414-2306
- NPI assigned
- Jul 24, 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | R193165 | MD | Primary |
Addresses
Primary practice location
26005 Ridge Rd
Suite 200
Damascus, MD 20872-1892
Mailing address
26005 Ridge Rd
Suite 200
Damascus, MD 20872-1892
Phone (301) 414-2300
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
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R193165 | MD | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409097600000",
"number": "1316969520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26005 RIDGE RD",
"address_2": "SUITE 200",
"city": "DAMASCUS",
"state": "MD",
"postal_code": "208721892",
"telephone_number": "301-414-2300",
"fax_number": "301-414-2306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26005 RIDGE RD",
"address_2": "SUITE 200",
"city": "DAMASCUS",
"state": "MD",
"postal_code": "208721892",
"telephone_number": "301-414-2300",
"fax_number": "301-414-2306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ANGEL",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "CNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2014-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MD",
"license": "R193165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Damascus, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.