Rylie Michelle Miller, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT-711 Issued in ID

Practice address

1910 University Dr
Boise, ID 83725-0002

Phone

(208) 426-2403

Fax

(208) 426-2249

NPI assigned

Sep 16, 2020

Sex

Female

Sole proprietor

No

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": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1548876469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 S DENVER AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837064502",
            "telephone_number": "702-449-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 UNIVERSITY DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837250002",
            "telephone_number": "208-426-2403",
            "fax_number": "208-426-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RYLIE",
        "middle_name": "MICHELLE",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ID",
            "license": "AT-711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melvin Darrell Miller, PH.D., CCC-A
• Michael Randall Miller, CRNA
• Nikole Miller
• Rita Miller, PT
• Ronald Dale Miller, MPT
• Sarah Jane Miller, DO
• Sarah Wakefield Miller, PHARMD
• Sasha Leigh Miller
• Tami Anne Miller
• Tehya Larae Miller

• Athletic Trainer in Boise, ID
• Providers in Boise, ID by specialty
• Athletic Trainer in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.