Judi R Miller, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP5099 Issued in AZ

Practice address

33240 N 45TH PL
Cave Creek, AZ 85331-5073

Phone

(516) 509-6320

NPI assigned

Feb 10, 2011

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Global Wound Care Medical Group

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1235831132
  NPD
• Scottsdale Primary Care, PC

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1184971376
  NPD (past)
• The Pain Center of Arizona, PC

  dba The Pain Center of Arizona

  • Clinical Medical Laboratory
  • Phoenix, AZ
  • NPI 1154780237
  NPD (past)

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1629374509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33240 N 45TH PL",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853315073",
            "telephone_number": "516-509-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33240 N 45TH PL",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853315073",
            "telephone_number": "516-509-6320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 E Camelback Rd Ste 190",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850182657",
            "country_code": "US",
            "telephone_number": "623-516-8252",
            "fax_number": "623-516-8253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7534 E 2nd St",
            "address_2": "102",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852514548",
            "country_code": "US",
            "telephone_number": "480-607-3800",
            "fax_number": "480-607-3808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JUDI",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP5099",
            "primary": true
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "NY",
            "license": "259900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250545",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarina Mercado, D.D.S.
• Mark A Meyers, M.D.
• Todd M Meyers, D.C.
• Michael Joseph PLLC (Surgical Group of Arizona)
• Melody Milikich
• Kim L Miller, MD
• Sandra Lee Miller, LCSW
• Mindbody Associates (MindBody Associates, INC)
• Negin Nickie Mohebbi, PHARM.D.
• Shahrokh Sean Mohebbi, PHARMD

• Adult Health Nurse Practitioner in Cave Creek, AZ
• Providers in Cave Creek, AZ by specialty
• Adult Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.