Individual provider Active NPI

Kristina Olivia Miller, ATC, PA-C

  • Physician Assistant
  • Washington, DC
National Provider Identifier
1558785147
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA200002324 Issued in DC
Practice address
1500 Galen St SE
Washington, DC 20020-4913
Phone
(202) 469-4699
NPI assigned
Feb 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X A0000580 MD
Physician Assistant 363A00000X PA200002324 DC Primary

Addresses

Primary practice location

1500 Galen St SE
Washington, DC 20020-4913

Mailing address

4526 Cavalier CT
White Plains, MD 20695-4403
Phone (757) 268-2920

Other practice location 1

1000 Hilltop Cir
Rac 221
Baltimore, MD 21250-0001
Phone (410) 455-6360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260218002484 DC Practitioner - Physician Assistant 4981184827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Health Care Inc.Group PAC ID 3476647264, 151 clinicians

Practice addresses (Care Compare)

1500 Galen St SE
Washington, DC 20020-4913
Phone (202) 610-7160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
A0000580MDMDAthletic Trainer
PA200002324DCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Health Care Inc. CurrentSince Jan 29, 2026 Accepting new patients
Unity Health Care, Inc. CurrentSince Jan 29, 2026 Accepting new patients
Unity Health Care, Inc Past Accepting new patients

Locations

1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000

1500 Galen St SE
Washington, DC 20020
Phone (202) 610-7160

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1558785147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4526 CAVALIER CT",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206954403",
            "telephone_number": "757-268-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 GALEN ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200204913",
            "telephone_number": "202-469-4699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Hilltop Cir",
            "address_2": "RAC 221",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212500001",
            "country_code": "US",
            "telephone_number": "410-455-6360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KRISTINA",
        "middle_name": "OLIVIA",
        "name_prefix": "Miss",
        "credential": "ATC, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-18",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MD",
            "license": "A0000580",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA200002324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.