Individual provider Active NPI

Heather Ann Miller

  • Specialist
  • Wrentham, MA
National Provider Identifier
1679251938
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
110 Eastside Rd
Wrentham, MA 02093-1561
Phone
(781) 551-0405
NPI assigned
Jul 7, 2023
Last updated
Jul 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

110 Eastside Rd
Wrentham, MA 02093-1561

Mailing address

110 Eastside Rd
Wrentham, MA 02093-1561
Phone (508) 930-0157

Other practice location 1

110 Eastside Rd
Wrentham, MA 02093-1561
Phone (781) 551-0405

Other practice location 2

110 Eastside Rd
Wrentham, MA 02093-1561
Phone (781) 551-0405

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

NPI Registry JSON

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1679251938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 EASTSIDE RD",
            "city": "WRENTHAM",
            "state": "MA",
            "postal_code": "020931561",
            "telephone_number": "508-930-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 EASTSIDE RD",
            "city": "WRENTHAM",
            "state": "MA",
            "postal_code": "020931561",
            "telephone_number": "781-551-0405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Eastside Rd",
            "address_purpose": "LOCATION",
            "city": "Wrentham",
            "state": "MA",
            "postal_code": "020931561",
            "country_code": "US",
            "telephone_number": "781-551-0405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Eastside Rd",
            "address_purpose": "LOCATION",
            "city": "Wrentham",
            "state": "MA",
            "postal_code": "020931561",
            "country_code": "US",
            "telephone_number": "781-551-0405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wrentham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.