Active NPI
Kevin C Miller, PHD, AT, ATC
- Athletic Trainer
- Mt Pleasant, MI
National Provider Identifier
1447617782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2601001163
- Practice address
- Cmu
1208 HPB
Mt Pleasant, MI 48859-0001 - Phone
- (989) 774-2813
- NPI assigned
- Jan 18, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2601001163 | MI | Primary |
Addresses
Primary practice location
Cmu
1208 HPB
Mt Pleasant, MI 48859-0001
Mailing address
Cmu
1208 HPB
Mt Pleasant, MI 48859-0001
Phone (989) 774-2813
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2601001163 | MI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453075200000",
"number": "1447617782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CMU",
"address_2": "1208 HPB",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "488590001",
"telephone_number": "989-774-2813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CMU",
"address_2": "1208 HPB",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "488590001",
"telephone_number": "989-774-2813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KEVIN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PHD, AT, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-18",
"last_updated": "2016-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MI",
"license": "2601001163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mt Pleasant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.