Active NPI
Lydia Irene Miller, ARNP
- Family Nurse Practitioner
- Tacoma, WA
National Provider Identifier
1629262233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP30007852
- Practice address
- 2102 N Pearl St Ste 405
Tacoma, WA 98406-2550 - Phone
- (253) 752-8822
- NPI assigned
- Aug 28, 2007
- Last updated
- Feb 2, 2023
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP30007852 | WA | Primary |
Addresses
Primary practice location
2102 N Pearl St Ste 405
Tacoma, WA 98406-2550
Mailing address
2690 NE Kresky Ave
Chehalis, WA 98532-2412
Phone (360) 330-9595
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30007852 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C&L PLLC | Family | Current | Accepting new patients |
| Advanced Womens Health | Past | Accepting new patients | |
| Olympia Emergency Services, PLLC | Past | Accepting new patients | |
| Lewis County Community Health Services | Past | Accepting new patients |
Locations
2102 N Pearl St
Ste 405
Tacoma, WA 98406
Phone (253) 752-8822
Interoperability endpoints
- advancedwomenshealth.lydiamiller@139615.advancedmd-direct.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nurse Practitioner
- Tacoma, WA
- NPI 1144300989
-
dba Valley View Health Center - Centralia
- Federally Qualified Health Center (FQHC)
- Centralia, WA
- NPI 1811669658
-
- Emergency Medicine Physician
- Olympia, WA
- NPI 1346267796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675296000000",
"number": "1629262233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2690 NE KRESKY AVE",
"city": "CHEHALIS",
"state": "WA",
"postal_code": "985322412",
"telephone_number": "360-330-9595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2102 N PEARL ST STE 405",
"city": "TACOMA",
"state": "WA",
"postal_code": "984062550",
"telephone_number": "253-752-8822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "LYDIA",
"middle_name": "IRENE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-28",
"last_updated": "2023-02-02",
"certification_date": "2023-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30007852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.