Active NPI
Tara L Miller
- Social Worker
- Madison, WI
National Provider Identifier
1629980164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 135901121
- Practice address
- 6302 Odana Rd
Madison, WI 53719-1162 - Phone
- (608) 219-0992
- NPI assigned
- Sep 21, 2026
- Last updated
- Sep 21, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 135901121 | WI | Primary |
Addresses
Primary practice location
6302 Odana Rd
Madison, WI 53719-1162
Mailing address
2649 Koshkonong Way
Sun Prairie, WI 53590-7061
Phone (608) 219-0992
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789948800000",
"number": "1629980164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2649 KOSHKONONG WAY",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "535907061",
"telephone_number": "608-219-0992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6302 ODANA RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537191162",
"telephone_number": "608-219-0992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "TARA",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-21",
"last_updated": "2026-09-21",
"certification_date": "2026-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "135901121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.