Individual provider Active NPI

Laura Naomi Miller, FNP

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1679134423
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019017386 Issued in MO
Practice address
315 W 75TH St
Kansas City, MO 64114-5738
Phone
(816) 361-4668
NPI assigned
Jun 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2019017386 MO Primary

Addresses

Primary practice location

315 W 75TH St
Kansas City, MO 64114-5738

Mailing address

315 W 75TH St
Kansas City, MO 64114-5738
Phone (816) 361-4668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190715000541 MO Practitioner - Nurse Practitioner 1355676289 Reassigns benefits to 1 organization
I20190822000413 KS Practitioner - Nurse Practitioner 1355676289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Kansas PAGroup PAC ID 7416043807, 139 clinicians

Practice addresses (Care Compare)

1900 E Langsford Rd
Lees Summit, MO 64063-3600
Phone (866) 389-2727

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019017386MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Kansas PA Family CurrentSince Aug 23, 2021 Accepting new patients

Locations

11729 Roe Ave
Shawnee Mission, KS 66211
Phone (877) 646-2546

3825 S Noland Rd
Independence, MO 64055
Phone (816) 254-6002

315 W 75th St
Kansas City, MO 64114
Phone (816) 361-4639

1900 E Langsford Rd
Lees Summit, MO 64063
Phone (816) 554-9500

Organizations & group practices 1

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.

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": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1679134423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W 75TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641145738",
            "telephone_number": "816-361-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W 75TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641145738",
            "telephone_number": "816-361-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LAURA",
        "middle_name": "NAOMI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019017386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.