Renae Therese Miller, HLPC COSM

Primary specialty

Mastectomy FitterTaxonomy code 224900000X

Practice address

6555 Wilson Mills Rd Ste 105
Cleveland, OH 44143-3435

Phone

(440) 461-4247

NPI assigned

Jan 4, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Complete Image of Hair Designs Inc.

  • Durable Medical Equipment & Medical Supplies
  • Mayfield Villiage, OH
  • NPI 1114227998

  Prosthetic/Orthotic Supplier

  NPD Authorized official

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1578151874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 WILSON MILLS RD STE 105",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441433435",
            "telephone_number": "440-213-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 WILSON MILLS RD STE 105",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441433435",
            "telephone_number": "440-461-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RENAE",
        "middle_name": "THERESE",
        "credential": "HLPC COSM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "224900000X",
            "taxonomy_group": "",
            "desc": "Mastectomy Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Renee Miller
• Olivia Miller, PT, DPT
• Paul Edmund Miller, M.D.
• Rachael Yvonne Miller, O.D.
• Rebekah Miller, LPCC
• Richard Tyler Miller, M.D.
• Ryan Michael Miller, DO
• Sarah Miller, M.A., CCC-SLP
• Saxon Miller
• Stanley R Miller II

• Mastectomy Fitter in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Mastectomy Fitter in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.

Verify at the official NPI Registry.