Gina Marie Miller

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

3423 N Centrepoint Way Unit G103
Meridian, ID 83646-6722

Phone

(309) 643-3712

NPI assigned

Jan 29, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1327795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1447522008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3423 N CENTREPOINT WAY UNIT G103",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3423 N CENTREPOINT WAY UNIT G103",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466722",
            "telephone_number": "309-643-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-29",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Marie Miller, PTA, LMP, LMT
• Ann Catherine Miller, DO
• Chelsea Miller, PA-C
• Clayton Miller, D.O.
• Derek Alan Miller, LMSW
• Karen S Miller, MD
• Kayla Miller, OT
• Khristine L. Miller, MD
• Mark R Miller, MD
• Nancy Norine Miller, NP

• Rehabilitation Practitioner in Meridian, ID
• Providers in Meridian, ID by specialty
• Rehabilitation Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.