James Henry Miller

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

RC00011927 Issued in WA

Practice address

9108 Lakewood Dr SW
Lakewood, WA 98499-3949

Phone

(253) 581-6202

Fax

(253) 581-6196

NPI assigned

Dec 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• Mark D Nellermoe Professional Service Corporation

  • Podiatrist
  • University Place, WA
  • NPI 1194145094
  NPD (past)

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1497937148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19328 104TH AVENUE CT E",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983386459",
            "telephone_number": "253-988-8954",
            "fax_number": "253-875-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9108 LAKEWOOD DR SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993949",
            "telephone_number": "253-581-6202",
            "fax_number": "253-581-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JAMES",
        "middle_name": "HENRY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "WA",
            "license": "RC00011927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED COUNSELOR",
            "identifier": "RC00011927",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula Mihm, B.A.
• Charity Mechelins Miles, MSW
• Aleta J Miller, ARNP
• Brittany Miller, BA
• Connor Aspen Miller
• Jesika Moxley Miller
• Kathleen Anne Miller
• Mark Douglas Miller, LMP
• Phillip Vernon Miller
• Sabrina Miller

• Mental Illness Community Based Residential Treatment Facility in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Mental Illness Community Based Residential Treatment Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.