Individual provider Active NPI

Jody Jae Miller, APRN, FNP-C

  • Family Nurse Practitioner
  • Cedar City, UT
National Provider Identifier
1366927584
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
359204-8900 Issued in UT
Practice address
1251 Northfield Rd Ste 301
Cedar City, UT 84721-8625
Phone
(435) 865-7227
NPI assigned
Oct 3, 2018
Last updated
Feb 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 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 359204-8900 UT Primary

Addresses

Primary practice location

1251 Northfield Rd Ste 301
Cedar City, UT 84721-8625

Mailing address

89 W 2875 North Cir
Cedar City, UT 84721-5958
Phone (435) 531-1637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20191210000259 TX Practitioner - Nurse Practitioner 5698108488 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
359204-8900UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paiute Indian Tribe of Utah Current Accepting new patients
Paiute Indian Tribe of Utah Current Accepting new patients
Paiute Indian Tribe of Utah Current Accepting new patients

Locations

376 N Paiute Dr
Cedar City, UT 84721
Phone (435) 867-1520

440 N Paiute Dr
Cedar City, UT 84721
Phone (435) 867-1520

6109 W 3700 N
Ivins, UT 84738
Phone (435) 688-8198

440 S Main St
Richfield, UT 84701
Phone (435) 893-6800

1449 N 1400 W
Ste 19
St George, UT 84770
Phone (435) 688-0759

Interoperability endpoints

  • Direct secure messaging: jody.miller.1@14860.direct.athenahealth.com

Organizations & group practices 3

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": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1366927584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 W 2875 NORTH CIR",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847215958",
            "telephone_number": "435-531-1637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 NORTHFIELD RD STE 301",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847218625",
            "telephone_number": "435-865-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JODY",
        "middle_name": "JAE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "359204-8900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar City, UT

Sources for this page

Verify at the official NPI Registry.