Active NPI
Kathryn A Miller
- Clinical Nurse Specialist
- Madison, WI
National Provider Identifier
1376479428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- 17647-33
- Practice address
- 700 S Park St
Madison, WI 53715-1830 - Phone
- (608) 258-5879
- NPI assigned
- Jun 18, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | 17647-33 | WI | Primary |
| Registered Nurse | 163W00000X | 171089-30 | WI |
Addresses
Primary practice location
700 S Park St
Madison, WI 53715-1830
Mailing address
1071 Alpine Pkwy
Oregon, WI 53575-3891
Phone (608) 333-5542
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1376479428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1071 ALPINE PKWY",
"city": "OREGON",
"state": "WI",
"postal_code": "535753891",
"telephone_number": "608-333-5542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S PARK ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537151830",
"telephone_number": "608-258-5879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KATHRYN",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-18",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "WI",
"license": "17647-33",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "171089-30",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.