Jodi Lynn Miller, APRN

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

APRN51341 Issued in WV

Practice address

61 29TH St
Wheeling, WV 26003-4161

Phone

(304) 233-1135

Fax

(304) 233-3869

NPI assigned

Aug 29, 2019

Last updated

Dec 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Serenity Hills Life Center

  dba Heart 2 Heart Volunteers, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Wheeling, WV
  • NPI 1043717937
  NPD (past)

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1487202826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 29TH ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260034161",
            "telephone_number": "304-233-9323",
            "fax_number": "304-233-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 29TH ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260034161",
            "telephone_number": "304-233-1135",
            "fax_number": "304-233-3869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "667 Stone Shannon Rd",
            "address_purpose": "LOCATION",
            "city": "Wheeling",
            "state": "WV",
            "postal_code": "260036742",
            "country_code": "US",
            "telephone_number": "304-277-4657 x118",
            "fax_number": "304-277-1037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JODI",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN51341",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "WV",
            "license": "APRN51341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Grace Milcoff
• Angeline Michelle Miller, MA
• Derek M Miller, PA-C
• Donald Frederick Miller
• Hilary Linn Miller, PA-C
• Kelly Miller
• Kelsey Elizabeth Miller, APRN, FNP-C
• Laura May Miller, DO
• Michelle Miller
• Shaenan G Miller, MPT

• Addiction Medicine (Family Medicine) Physician in Wheeling, WV
• Providers in Wheeling, WV by specialty
• Addiction Medicine (Family Medicine) Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.