Ahmad Miller

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

5618-9-GA Issued in FL

Practice address

120 8TH Ave E
Bradenton, FL 34208-1940

Phone

(941) 284-2223

NPI assigned

Dec 1, 2021

Last updated

Dec 1, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1518625060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 8TH AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081940",
            "telephone_number": "941-284-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 8TH AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081940",
            "telephone_number": "941-284-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "AHMAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "5618-9-GA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Youstina Mikhail
• Terri E. Milen, MA, NCC. MHCI
• Margaret Christina Milkovich, RN
• Jennifer Renee Millar, MA, LMFT
• Millennium Imaging, Inc.
• Alan Keith Miller, M.D.
• David Walter Miller, RPH
• Florey Miller, RD
• Jamie Lee Miller, PA
• Kaitlyn Miller

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.