Active NPI
Jodi Lynn Miller, RN
- Orthopedic Registered Nurse
- Boise, ID
National Provider Identifier
1629097159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Registered Nurse
- License
- N-21125
- Practice address
- 6500 W Emerald St
Boise, ID 83704-8736 - Phone
- (208) 377-0777
- NPI assigned
- Jul 18, 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 |
|---|---|---|---|---|
| Orthopedic Registered Nurse | 163WX0800X | N-21125 | ID | Primary |
Addresses
Primary practice location
6500 W Emerald St
Boise, ID 83704-8736
Mailing address
8038 Waterside Ave
Nampa, ID 83687-9327
Phone (208) 461-0536
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N-21125 | ID | MD | Orthopedic Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629097159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8038 WATERSIDE AVE",
"city": "NAMPA",
"state": "ID",
"postal_code": "836879327",
"telephone_number": "208-461-0536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 W EMERALD ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837048736",
"telephone_number": "208-377-0777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JODI",
"middle_name": "LYNN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WX0800X",
"taxonomy_group": "",
"desc": "Registered Nurse, Orthopedic",
"state": "ID",
"license": "N-21125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.