Individual provider Active NPI

Angela L. Miller, CNM

  • Advanced Practice Midwife
  • Federal Way, WA
National Provider Identifier
1679749279
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP60042863 Issued in WA
Practice address
34509 9TH Ave S Ste 207
Federal Way, WA 98003-8709
Phone
(253) 815-9595
Fax
(360) 825-3370
NPI assigned
May 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X AP60042863 WA
Advanced Practice Midwife 367A00000X
Advanced Practice Midwife 367A00000X 514 NC
Advanced Practice Midwife 367A00000X AP60042863 WA Primary

Addresses

Primary practice location

34509 9TH Ave S Ste 207
Federal Way, WA 98003-8709

Mailing address

34509 9TH Ave S Ste 207
Federal Way, WA 98003-8709
Phone (253) 815-9595

Other practice location 1

112 Perkins Dr
Chapel Hill, NC 27514-1785
Phone (919) 843-7005

Other identifiers 3

IdentifierTypeStateIssuer
9658402MedicaidWA
0239392OtherWASTATE L&I
1092460MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amiller138667@fhsce.catholichealth.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240403001682 MN Practitioner - Certified Nurse Midwife (CNM) 2062589344 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
AP60042863WAMDWomen's Health Nurse Practitioner
514NCMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
University of Minnesota Physicians CurrentSince May 18, 2024 Accepting new patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince May 18, 2024 Accepting new patients
Fairview Express Care CurrentSince May 18, 2024 Accepting new patients
Fairview Express Care CurrentSince May 18, 2024 Accepting new patients
University of Minnesota Physicians Current Accepting new patients
Fairview Express Care Current Accepting new patients
University of Minnesota Physicians CurrentSince May 18, 2024 Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. Current Accepting new patients
Fairview Health Services Past Accepting new patients

Locations

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

606 24th Ave S
Ste 300
Minneapolis, MN 55454
Phone (612) 273-7111

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1679749279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34509 9TH AVE S STE 207",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038709",
            "telephone_number": "253-815-9595",
            "fax_number": "360-825-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34509 9TH AVE S STE 207",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038709",
            "telephone_number": "253-815-9595",
            "fax_number": "360-825-3370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Perkins Dr",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275141785",
            "country_code": "US",
            "telephone_number": "919-843-7005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANGELA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-02",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WA",
            "license": "AP60042863",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "514",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "AP60042863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9658402",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE L&I",
            "identifier": "0239392",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1092460",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amiller138667@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "34509 9th Ave S Ste 207",
            "city": "Federal Way",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980038709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.