Individual provider Active NPI

Tiffany Marie Miller, REGISTERED NURSE

  • Psychiatric/Mental Health Registered Nurse
  • Hayward, WI
National Provider Identifier
1346040177
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
1102327 Issued in WI
Practice address
10594 Main St
Hayward, WI 54843-6658
Phone
(715) 416-1381
NPI assigned
Mar 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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 Registered Nurse 163WP0808X 1102327 WI Primary

Addresses

Primary practice location

10594 Main St
Hayward, WI 54843-6658

Mailing address

11964 N County Road T
Hayward, WI 54843-7338
Phone (651) 380-3081

Other practice location 1

10752 Beal Ave
Hayward, WI 54843-6435
Phone (715) 634-0222 ext. 202

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1102327WIMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Counseling, LLC CurrentSince Mar 24, 2025 Accepting new patients

Locations

10594 Main St
North Woods Beach, WI 54843
Phone (715) 416-1381

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1346040177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11964 N COUNTY ROAD T",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548437338",
            "telephone_number": "651-380-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10594 MAIN ST",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548436658",
            "telephone_number": "715-416-1381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10752 Beal Ave",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "WI",
            "postal_code": "548436435",
            "country_code": "US",
            "telephone_number": "715-634-0222 x202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TIFFANY",
        "middle_name": "MARIE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WI",
            "license": "1102327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.