Individual provider Active NPI

Jennifer Miller, MSN, RN, CARN

  • Registered Nurse
  • Durango, CO
National Provider Identifier
1629515689
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN.1654935 Issued in CO
Practice address
72 Suttle St Unit M
Durango, CO 81303
Phone
(970) 828-3030
NPI assigned
Jan 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X RN-75631 NM
Registered Nurse 163W00000X RN.1654935 CO Primary
Registered Nurse 163W00000X RN-75631 NM
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X RN.1654935 CO

Addresses

Primary practice location

72 Suttle St Unit M
Durango, CO 81303

Mailing address

72 Suttle St Unit M
Durango, CO 81303-6829
Phone (970) 828-3030

Other practice location 1

450 S Camino Del Rio Ste 102
Durango, CO 81301
Phone (970) 828-3030

Other practice location 2

450 S Camino Del Rio Ste 102
Durango, CO 81301
Phone (970) 828-3030

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
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.1654935COMDRegistered Nurse
RN-75631NMMDAddiction (Substance Use Disorder) Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Addiction Treatment Services Inc Current Accepting new patients
Southern Rockies Addiction Treatment Services Past Accepting new patients

Locations

72 Suttle St
Unit M
Durango, CO 81303
Phone (970) 426-4410

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1629515689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 SUTTLE ST UNIT M",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813036829",
            "telephone_number": "970-828-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 SUTTLE ST UNIT M",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "81303",
            "telephone_number": "970-828-3030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 S Camino Del Rio Ste 102",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "81301",
            "country_code": "US",
            "telephone_number": "970-828-3030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 S Camino Del Rio Ste 102",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "81301",
            "country_code": "US",
            "telephone_number": "970-828-3030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JENNIFER",
        "credential": "MSN, RN, CARN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-27",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "RN-75631",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.1654935",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "RN-75631",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "RN.1654935",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.