Active NPI
Alexis Miller
- Case Manager/Care Coordinator
- North Baltimore, OH
National Provider Identifier
1437802600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- CDCA.179359
- Practice address
- 115 W State St
North Baltimore, OH 45872-1332 - Phone
- (567) 207-6375
- NPI assigned
- Jan 28, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | CDCA.179359 | OH | Primary |
Addresses
Primary practice location
115 W State St
North Baltimore, OH 45872-1332
Mailing address
115 W State St
North Baltimore, OH 45872-1332
Phone (567) 207-6375
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5037 | Other | OH | CASE MANGER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.179359 | OH | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1437802600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 W STATE ST",
"city": "NORTH BALTIMORE",
"state": "OH",
"postal_code": "458721332",
"telephone_number": "567-207-6375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 W STATE ST",
"city": "NORTH BALTIMORE",
"state": "OH",
"postal_code": "458721332",
"telephone_number": "567-207-6375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ALEXIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-28",
"last_updated": "2022-01-28",
"certification_date": "2022-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": "CDCA.179359",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CASE MANGER",
"identifier": "5037",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Baltimore, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.