Traci Rae Miller, RN, MSN, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R117726 Issued in MD

Practice address

6095 Marshalee Dr
Elkridge, MD 21075-6053

Phone

(410) 379-3400

NPI assigned

Jul 13, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

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.

• Entaa Care, P.a.

  • Specialist
  • Glen Burnie, MD
  • NPI 1619975646
  NPD (past)

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1659379683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 PINE TRL",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210121628",
            "telephone_number": "410-340-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6095 MARSHALEE DR",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756053",
            "telephone_number": "410-379-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TRACI",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "RN, MSN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R117726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211140300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mid-Atlantic Allergy & Asthma
• Helena Joanna Middleton, NP
• Valerie Renee Middleton, CRNP
• Debrah Miller
• Regina Marie Miller, CRNP
• Gary Alan Milles, M.D.
• Mindsite Health LLC
• Minuteclinic LLC
• Afshan Ashley Mizrahi
• Samantha Mohen, D.C.

• Nurse Practitioner in Elkridge, MD
• Providers in Elkridge, MD by specialty
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.