Active NPI
Renee Rundall Miller
- Adult Companion
- Papillion, NE
National Provider Identifier
1467196964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 1704 Diane St
Papillion, NE 68046-8205 - Phone
- (402) 650-8394
- NPI assigned
- Apr 21, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Adult Companion | 372600000X | Primary |
Addresses
Primary practice location
1704 Diane St
Papillion, NE 68046-8205
Mailing address
9412 Giles Rd Ste 101
La Vista, NE 68128-3064
Other practice location 1
11412 Centennial Rd Ste 100
LA Vista, NE 68128-5546
Phone (402) 916-4539 ext. 102
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": "1650499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741305600000",
"number": "1467196964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9412 GILES RD STE 101",
"city": "LA VISTA",
"state": "NE",
"postal_code": "681283064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1704 DIANE ST",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680468205",
"telephone_number": "402-650-8394"
}
],
"practiceLocations": [
{
"address_1": "11412 Centennial Rd Ste 100",
"address_purpose": "LOCATION",
"city": "LA Vista",
"state": "NE",
"postal_code": "681285546",
"country_code": "US",
"telephone_number": "402-916-4539 x102",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUNDALL MILLER",
"first_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-21",
"last_updated": "2025-03-07",
"certification_date": "2025-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Papillion, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.