Rebecca Yvonne Miller, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2351 Issued in CO

Practice address

2144 Main St
#8
Longmont, CO 80501-8402

Phone

(720) 494-1740

Fax

(303) 772-0042

NPI assigned

Mar 12, 2010

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)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: rebecca.miller.2@14940.direct.athenahealth.com

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268352000000",
    "number": "1598088965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 CUSHING DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805386430",
            "telephone_number": "970-593-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2144 MAIN ST",
            "address_2": "#8",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805018402",
            "telephone_number": "720-494-1740",
            "fax_number": "303-772-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "REBECCA",
        "middle_name": "YVONNE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-12",
        "last_updated": "2010-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA2351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa L Mikesell, LCSW CACIII
• Kristen Mildenberger, LCSW
• Milestone Medical Group Inc
• Denise M Miller, MD
• Laurel Mackey Miller, DIPL. AC.
• Jay Clinton Mills, DDS
• Mary Ruth Mills, LMFT,LPC,CACIII
• Holly Milne, MA, LPCC
• Milot Pediatric Dentistry, LLC
• Milroy Endodontics

• Physician Assistant in Longmont, CO
• Providers in Longmont, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; 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.