Individual provider Active NPI

Crystal Rae Miller, RN

  • Occupational Health Registered Nurse
  • Salt Lake City, UT
National Provider Identifier
1467966234
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health Registered NurseTaxonomy code 163WX0106X
License
5473244-3102 Issued in UT
Practice address
2396 S 300 E
Salt Lake City, UT 84115-2853
Phone
(562) 355-5276
NPI assigned
Nov 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Registered Nurse 163WX0106X 28234055A IN
Occupational Health Registered Nurse 163WX0106X 428488 OH
Occupational Health Registered Nurse 163WX0106X 201606965RN OR
Occupational Health Registered Nurse 163WX0106X RN60661271 WA
Occupational Health Registered Nurse 163WX0106X 14-137347-012 KS
Occupational Health Registered Nurse 163WX0106X RN152873 LA
Occupational Health Registered Nurse 163WX0106X 95046558 CA
Occupational Health Registered Nurse 163WX0106X RN689954 PA
Occupational Health Registered Nurse 163WX0106X 41423593 IL
Occupational Health Registered Nurse 163WX0106X 26NR17735300 NJ
Occupational Health Registered Nurse 163WX0106X RN9403347 FL
Occupational Health Registered Nurse 163WX0106X 1-158440 AL
Occupational Health Registered Nurse 163WX0106X RN247378 GA
Occupational Health Registered Nurse 163WX0106X RN77665 HI
Occupational Health Registered Nurse 163WX0106X 5473244-3102 UT Primary

Addresses

Primary practice location

2396 S 300 E
Salt Lake City, UT 84115-2853

Mailing address

2396 S 300 E
Salt Lake City, UT 84115-2853

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-158440ALMDOccupational Health Registered Nurse
95046558CAMDOccupational Health Registered Nurse
RN9403347FLMDOccupational Health Registered Nurse
RN247378GAMDOccupational Health Registered Nurse
RN77665HIMDOccupational Health Registered Nurse
41423593ILMDOccupational Health Registered Nurse
28234055AINMDOccupational Health Registered Nurse
14-137347-012KSMDOccupational Health Registered Nurse
RN152873LAMDOccupational Health Registered Nurse
26NR17735300NJMDOccupational Health Registered Nurse
428488OHMDOccupational Health Registered Nurse
201606965RNORMDOccupational Health Registered Nurse
RN689954PAMDOccupational Health Registered Nurse
5473244-3102UTMDOccupational Health Registered Nurse
RN60661271WAMDOccupational Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1467966234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2396 S 300 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841152853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2396 S 300 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841152853",
            "telephone_number": "562-355-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CRYSTAL",
        "middle_name": "RAE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "IN",
            "license": "28234055A",
            "primary": false
        },
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "OH",
            "license": "428488",
            "primary": false
        },
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "OR",
            "license": "201606965RN",
            "primary": false
        },
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "WA",
            "license": "RN60661271",
            "primary": false
        },
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "KS",
            "license": "14-137347-012",
            "primary": false
        },
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "LA",
            "license": "RN152873",
            "primary": false
        },
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "CA",
            "license": "95046558",
            "primary": false
        },
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "PA",
            "license": "RN689954",
            "primary": false
        },
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "IL",
            "license": "41423593",
            "primary": false
        },
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "NJ",
            "license": "26NR17735300",
            "primary": false
        },
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "FL",
            "license": "RN9403347",
            "primary": false
        },
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "AL",
            "license": "1-158440",
            "primary": false
        },
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "GA",
            "license": "RN247378",
            "primary": false
        },
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "HI",
            "license": "RN77665",
            "primary": false
        },
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "UT",
            "license": "5473244-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; 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.