Active NPI
Kim C. Miller, CRNA
- Certified Registered Nurse Anesthetist
- Huntington, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 48949
- Practice address
- 2900 1St Ave
#6019
Huntington, WV 25702-1241 - Phone
- (304) 399-0137
- Fax
- (304) 399-0138
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 48949 | WV | Primary |
Addresses
Primary practice location
2900 1St Ave
#6019
Huntington, WV 25702-1241
Mailing address
PO Box 8225
Huntington, WV 25705-0225
Phone (304) 399-0137
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001720995 | Other | WV | MTN STATE BCBS |
| 2066973 | Medicaid | OH | |
| 0069292000 | Medicaid | WV | |
| P00133192 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2900 1St Ave
Huntington, WV 25702-1241
Phone (304) 736-6126
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48336 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Cities Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesiologists Associated PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Cardiac Anesthesia Plus, Inc. | Past | Accepting new patients | |
| Anesthesiologists Associated PC | Past | Accepting new patients |
Locations
2900 1st Ave
Ste 6019
Huntington, WV 25702
Phone (304) 399-0137
2900 1st Ave
Rm 601
Huntington, WV 25702
Phone (304) 399-0137
2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111
2900 1st Ave
#6019
Huntington, WV 25702
Phone (304) 399-0137
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Huntington, WV
- NPI 1699845164
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Huntington, WV
- NPI 1336247949
-
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
- NPI 1043278443
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Chattanooga, TN
- NPI 1518923705
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Huntington, WV
- NPI 1164492195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372204800000",
"number": "1588762173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8225",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257050225",
"telephone_number": "304-399-0137",
"fax_number": "304-399-0138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 1ST AVE",
"address_2": "#6019",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257021241",
"telephone_number": "304-399-0137",
"fax_number": "304-399-0138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KIM",
"middle_name": "C.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2013-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WV",
"license": "48949",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MTN STATE BCBS",
"identifier": "001720995",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2066973",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0069292000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00133192",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.