Individual provider Active NPI

Kimberly Michele Miller, FNP-C

  • Family Nurse Practitioner
  • Harlan, KY
National Provider Identifier
1598534257
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4014020 Issued in KY
Practice address
212 E Clover St Ste 6
Harlan, KY 40831-2394
Phone
(606) 273-1139
Fax
(800) 331-2318
NPI assigned
Dec 21, 2023
Last updated
Oct 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4014020 KY Primary

Addresses

Primary practice location

212 E Clover St Ste 6
Harlan, KY 40831-2394

Mailing address

212 E Clover St Ste 6
Harlan, KY 40831-2394
Phone (606) 273-1139

Other practice location 1

1540 S US Highway 421
Harlan, KY 40831-2501
Phone (606) 573-9939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20240327001271 KY Practitioner - Nurse Practitioner 5597102434 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Hometown Urgent CareGroup PAC ID 5294155503, 5 clinicians

Practice addresses (Care Compare)

101 Green Terrace
Harlan, KY 40831

1540 S U S Hwy 421 by-Pass
Harlan, KY 40831
Phone (606) 273-1251

212 E Clover St
Suite 6
Harlan, KY 40831-2394
Phone (606) 273-1139

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Front Porch Medical, LLC Family CurrentSince Jun 5, 2024 Accepting new patients
Hometown Urgent Care CurrentSince Feb 17, 2024 Accepting new patients

Locations

1540 S US Highway 421
Harlan, KY 40831
Phone (606) 273-1251

212 E Clover St
Ste 6
Harlan, KY 40831
Phone (606) 273-1139

420 S Main St
Ste 1
Harlan, KY 40831
Phone (606) 273-1139

Interoperability endpoints

  • Direct secure messaging: frontporchmedical.kimberlymiller@157866.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1598534257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 E CLOVER ST STE 6",
            "city": "HARLAN",
            "state": "KY",
            "postal_code": "408312394",
            "telephone_number": "606-273-1139",
            "fax_number": "800-331-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E CLOVER ST STE 6",
            "city": "HARLAN",
            "state": "KY",
            "postal_code": "408312394",
            "telephone_number": "606-273-1139",
            "fax_number": "800-331-2318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1540 S US Highway 421",
            "address_purpose": "LOCATION",
            "city": "Harlan",
            "state": "KY",
            "postal_code": "408312501",
            "country_code": "US",
            "telephone_number": "606-573-9939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KIMBERLY",
        "middle_name": "MICHELE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-21",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4014020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlan, KY

Sources for this page

Verify at the official NPI Registry.