Jonathan Pease Miller, MS, CCA-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

5019 Issued in NC

Practice address

1915 K M Wicker Memorial Dr
Sanford, NC 27330-5070

Phone

(919) 774-6829

Fax

(919) 775-2327

NPI assigned

Aug 19, 2008

Last updated

Sep 15, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1679720957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 K M WICKER MEMORIAL DR",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305070",
            "telephone_number": "919-774-6829",
            "fax_number": "919-775-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 K M WICKER MEMORIAL DR",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305070",
            "telephone_number": "919-774-6829",
            "fax_number": "919-775-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JONATHAN",
        "middle_name": "PEASE",
        "name_prefix": "Mr.",
        "credential": "MS, CCA-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-19",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "5019",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NC",
            "license": "1032",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890107W",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0107W",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID FOR HEARING AID VENDORS",
            "identifier": "3404108",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Audiologist in Sanford, NC
• Providers in Sanford, NC by specialty
• Audiologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.