Katherine Marie Miller, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

57.028736 Issued in VA

Practice address

7219 N Litchfield Rd BLDG 1130
Luke Air Force Base, AZ 85309-1529

Phone

(623) 856-2273

NPI assigned

May 6, 2016

Last updated

Jul 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1427404649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 N FALCON DR UNIT 20",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7219 N LITCHFIELD RD BLDG 1130",
            "city": "LUKE AIR FORCE BASE",
            "state": "AZ",
            "postal_code": "853091529",
            "telephone_number": "623-856-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Childrens Plz",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454041873",
            "country_code": "US",
            "telephone_number": "937-257-8715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-06",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "57.028736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Holmes, PHARMD
• Jason H Hyde, D.O.
• Matthew A Kay, DO
• Catherine Faye Mattie, APN
• Rey Giovanni Perez Medina, FNP-C
• Aimee Rogers
• Latrise Pamela Searson-Norris, M.D.
• Zaira Sylvester, PT
• Michael Trinidad
• Kayleigh A Ziska, PHARMD

• Pediatrics Physician in Luke Air Force Base, AZ
• Providers in Luke Air Force Base, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.