Active NPI
Megha Miller, FNP-C
- Nurse Practitioner
- Portland, OR
National Provider Identifier
1487319299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 202112441NP
- Practice address
- 11750 SW Barnes Rd Ste 240
Portland, OR 97225-5911 - Phone
- (503) 389-6962
- NPI assigned
- Nov 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 202112441NP | OR | Primary |
| Family Nurse Practitioner | 363LF0000X | 202112441NP | OR |
Addresses
Primary practice location
11750 SW Barnes Rd Ste 240
Portland, OR 97225-5911
Mailing address
11750 SW Barnes Rd Ste 240
Portland, OR 97225-5911
Phone (503) 389-6962
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202112441NP | OR | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Wellness Center | Current | Accepting new patients |
Locations
3150 SE Belmont St
Portland, OR 97214
Phone (503) 376-6881
11750 SW Barnes Rd
Ste 240
Portland, OR 97225
Phone (503) 376-6881
1954 SE 182nd Ave
Portland, OR 97233
Phone (425) 800-5007
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Portland, OR
- NPI 1275921660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643587200000",
"number": "1487319299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11750 SW BARNES RD STE 240",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255911",
"telephone_number": "503-389-6962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11750 SW BARNES RD STE 240",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255911",
"telephone_number": "503-389-6962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MEGHA",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-05",
"last_updated": "2022-01-31",
"certification_date": "2022-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "OR",
"license": "202112441NP",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "202112441NP",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.