Individual provider Active NPI

Kaitlin Miller

  • Physician Assistant
  • Vienna, VA
National Provider Identifier
1356294953
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110011740 Issued in VA
Practice address
2672J Avenir PL
Vienna, VA 22180-7188
Phone
(703) 698-8162
Fax
(703) 214-5402
NPI assigned
Feb 16, 2026
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110011740 VA Primary

Addresses

Primary practice location

2672J Avenir PL
Vienna, VA 22180-7188

Mailing address

2672J Avenir PL
Vienna, VA 22180-7188
Phone (703) 698-8162

Other practice location 1

7504 Iron Bar Ln
Gainesville, VA 20155-2999
Phone (703) 214-6984

Other practice location 2

3000 Washington Blvd Ste F
Arlington, VA 22201-2166
Phone (703) 827-1484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260527000405 VA Practitioner - Physician Assistant 6608346051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7504 Iron Bar LN
Gainesville, VA 20155-2999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0110011740VAMDPhysician Assistant

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": "1771200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1356294953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2672J AVENIR PL",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221807188",
            "telephone_number": "703-698-8162",
            "fax_number": "703-214-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2672J AVENIR PL",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221807188",
            "telephone_number": "703-698-8162",
            "fax_number": "703-214-5402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7504 Iron Bar Ln",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "VA",
            "postal_code": "201552999",
            "country_code": "US",
            "telephone_number": "703-214-6984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Washington Blvd Ste F",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222012166",
            "country_code": "US",
            "telephone_number": "703-827-1484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KAITLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-16",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110011740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.