Individual provider Active NPI

Anita Louise Miller, CRNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Florence, AL
National Provider Identifier
1356447015
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
1-040499 Issued in AL
Practice address
2407 Helton Dr
Florence, AL 35630-1067
Phone
(256) 718-5900
Fax
(256) 718-5918
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 1-040499 AL Primary

Addresses

Primary practice location

2407 Helton Dr
Florence, AL 35630-1067

Mailing address

2407 Helton Dr
Florence, AL 35630-1067
Phone (256) 718-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20101018000267 AL Practitioner - Nurse Practitioner 2365635802 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ecm Health Group LLC CurrentSince Feb 1, 2022 Accepting new patients

Locations

2407 Helton Dr
Florence, AL 35630
Phone (256) 718-5900

541 W College St
Ste 3300
Florence, AL 35630
Phone (256) 766-6026

541 W College St
Ste 3200
Florence, AL 35630
Phone (256) 760-0098

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1356447015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 HELTON DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301067",
            "telephone_number": "256-718-5900",
            "fax_number": "256-718-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 HELTON DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301067",
            "telephone_number": "256-718-5900",
            "fax_number": "256-718-5918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANITA",
        "middle_name": "LOUISE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AL",
            "license": "1-040499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.