Active NPI
Bridget Ivy Miller
- Behavior Technician
- Germantown, MD
National Provider Identifier
1538806948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 19540 Amaranth Dr
Germantown, MD 20874-1202 - Phone
- (240) 830-7233
- NPI assigned
- May 17, 2022
- Last updated
- May 17, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
19540 Amaranth Dr
Germantown, MD 20874-1202
Mailing address
5730 Magnolia Tree CT Apt A42
Frederick, MD 21703-7283
Phone (240) 439-3994
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Bridgetm@acornhealth.com | Direct |
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
Interoperability endpoints
- bridgetm@acornhealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652745600000",
"number": "1538806948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5730 MAGNOLIA TREE CT APT A42",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217037283",
"telephone_number": "240-439-3994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19540 AMARANTH DR",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208741202",
"telephone_number": "240-830-7233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "BRIDGET",
"middle_name": "IVY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-17",
"last_updated": "2022-05-17",
"certification_date": "2022-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Bridgetm@acornhealth.com",
"affiliation": "N",
"endpointDescription": "Mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"contentOtherDescription": "Email",
"address_1": "19540 Amaranth Dr",
"city": "Germantown",
"state": "MD",
"country_code": "US",
"postal_code": "208741202",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Germantown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.