Individual provider Active NPI

Sara Miller, FNP-C

  • Family Nurse Practitioner
  • Kamas, UT
National Provider Identifier
1336927441
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9438490-4405 Issued in UT
Practice address
228 W 200 S Ste B
Kamas, UT 84036-9010
Phone
(435) 783-4385
Fax
(435) 783-2919
NPI assigned
Sep 19, 2023
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9438490-4405 UT Primary

Addresses

Primary practice location

228 W 200 S Ste B
Kamas, UT 84036-9010

Mailing address

228 W 200 S
Kamas, UT 84036-9010
Phone (435) 783-4385

Other practice location 1

1122 Center Dr Ste D350
Park City, UT 84098-6908
Phone (435) 714-7277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9438490-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory Iverson Family Medicine PLLC PastSince Sep 24, 2023 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, 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": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1336927441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 W 200 S",
            "city": "KAMAS",
            "state": "UT",
            "postal_code": "840369010",
            "telephone_number": "435-783-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 W 200 S STE B",
            "city": "KAMAS",
            "state": "UT",
            "postal_code": "840369010",
            "telephone_number": "435-783-4385",
            "fax_number": "435-783-2919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1122 Center Dr Ste D350",
            "address_purpose": "LOCATION",
            "city": "Park City",
            "state": "UT",
            "postal_code": "840986908",
            "country_code": "US",
            "telephone_number": "435-714-7277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SARA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "9438490-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kamas, UT

Sources for this page

Verify at the official NPI Registry.