Individual provider Active NPI

Maranda Wortham Miles, APRN

  • Family Nurse Practitioner
  • Henderson, KY
National Provider Identifier
1679062731
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012216 Issued in KY
Practice address
2242 Hwy 41 North
Henderson, KY 42420
Phone
(270) 971-4831
Fax
(270) 971-4832
NPI assigned
May 4, 2018
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 710118551A IN
Family Nurse Practitioner 363LF0000X 3012216 KY Primary

Addresses

Primary practice location

2242 Hwy 41 North
Henderson, KY 42420

Mailing address

PO Box 1258
Waynesboro, TN 38485-1258
Phone (931) 253-1110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20180524000448 KY Practitioner - Nurse Practitioner 2264797166 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CH MSSP Services Ky LLCGroup PAC ID 4587182076, 14 clinicians
Curana Health of Kentucky LLCGroup PAC ID 8325228414, 15 clinicians

Practice addresses (Care Compare)

215 E Main St
Providence, KY 42450-1261
Phone (270) 667-7017

4965 US Hwy 42
Suite 1000
Louisville, KY 40222-6375
Phone (337) 991-9276

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
710118551AINMDNurse Practitioner
3012216KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Kentucky LLC Nurse Practitioner CurrentSince Sep 30, 2025 Accepting new patients
Regional Health Care Affiliates, Inc CurrentSince Apr 19, 2019 Accepting new patients
Ohio County Hospital Corporation Current Accepting new patients
Ohio County Hospital Corporation CurrentSince Jul 1, 2019 Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince May 1, 2018 Accepting new patients
Regional Health Care Affiliates, Inc. Current Accepting new patients
CH MSSP Services Ky LLC CurrentSince Sep 30, 2025 Accepting new patients
Regional Health Care Affiliates Inc CurrentSince Apr 19, 2019 Accepting new patients
Ohio County Hospital Corporation CurrentSince Jul 1, 2019 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince May 1, 2018 Accepting new patients

Locations

1313 N Main St
Beaver Dam, KY 42320
Phone (270) 274-9928

110 S 2nd St
Central City, KY 42330
Phone (270) 931-2059

107 E Main St
Earlington, KY 42410
Phone (270) 383-2521

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

20 E McMurtry Ave
Hartford, KY 42347
Phone (270) 504-1300

2242 US Highway 41 N
Henderson, KY 42420
Phone (270) 844-8515

4965 US Highway 42
Ste 1000
Louisville, KY 40222
Phone (877) 453-5915

210 N Main St
Morgantown, KY 42261
Phone (270) 526-3137

215 E Main St
Providence, KY 42450
Phone (270) 667-7017

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1679062731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1258",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "384851258",
            "telephone_number": "931-253-1110",
            "fax_number": "931-722-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2242 HWY 41 NORTH",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "42420",
            "telephone_number": "270-971-4831",
            "fax_number": "270-971-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "MARANDA",
        "middle_name": "WORTHAM",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-04",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "710118551A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, KY

Sources for this page

Verify at the official NPI Registry.