Active NPI
Angela L. Miller, CNM
- Advanced Practice Midwife
- Federal Way, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- AP60042863
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9658402 | Medicaid | WA | |
| 0239392 | Other | WA | STATE L&I |
| 1092460 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60042863 | WA | MD | Women's Health Nurse Practitioner |
| 514 | NC | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Minnesota Physicians | Current | Accepting new patients | |
| University of Minnesota Health Clinics and Surgery Center Inc | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | 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.
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Clinic/Center
- Minneapolis, MN
- NPI 1053795187
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1477598118
-
- Sleep Disorder Diagnostic Clinic/Center
- Minneapolis, MN
- NPI 1194143024
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
- Anesthesiology Physician
- Minneapolis, MN
- NPI 1003485004
-
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1124274527
-
- Dental Clinic/Center
- Minneapolis, MN
- NPI 1952546061
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.