Active NPI
Miller Family Healthcare LLC
- Family Nurse Practitioner
- Moorefield, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 58804
- Legal business name
- MILLER FAMILY HEALTHCARE LLC
- Practice address
- 206 Jackson St
Moorefield, WV 26836-1287 - Phone
- (304) 530-5980
- Fax
- (304) 530-5981
- NPI assigned
- Mar 28, 2017
- Last updated
- Jan 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Selena Miller, NP-C
- Title
- Nurse Practitioner
- Phone
- (304) 530-5980
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 58804 | WV | Primary |
Addresses
Primary practice location
206 Jackson St
Moorefield, WV 26836-1287
Mailing address
206 Jackson St
Moorefield, WV 26836-1287
Phone (304) 530-5980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 51D2128827 | Miller Family Healthcare, LLC | Certificate of waiver | Apr 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
206 Jackson St
Moorefield, WV 26836
Phone (304) 530-5980
712 N Main St
Ste 201
Moorefield, WV 26836
Phone (304) 530-4999
Interoperability endpoints
- https://api.platform.athenahealth.com/15954/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Moorefield, WV
- NPI 1659635167
-
- Psychiatric/Mental Health Nurse Practitioner
- Moorefield, WV
- NPI 1609264969
-
- Family Medicine Physician
- Moorefield, WV
- NPI 1366392003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705622400000",
"number": "1356873558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 JACKSON ST",
"city": "MOOREFIELD",
"state": "WV",
"postal_code": "268361287",
"telephone_number": "304-530-5980",
"fax_number": "304-530-5981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 JACKSON ST",
"city": "MOOREFIELD",
"state": "WV",
"postal_code": "268361287",
"telephone_number": "304-530-5980",
"fax_number": "304-530-5981"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLER FAMILY HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-28",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_middle_name": "SELENA",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "304-530-5980",
"authorized_official_credential": "NP-C"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "58804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moorefield, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.