Individual provider Active NPI

Kierea Chanelle Miller, A.M.F.T.

  • Marriage & Family Therapist
  • Springville, UT
National Provider Identifier
1679939599
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
9086704-3904 Issued in UT
Practice address
763 N 1650 W
Springville
Springville, UT 84663-5066
Phone
(801) 704-1364
Fax
(801) 491-3911
NPI assigned
Jan 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 9086704-3904 UT Primary

Addresses

Primary practice location

763 N 1650 W
Springville
Springville, UT 84663-5066

Mailing address

2275 W 250 S Unit D203
Pleasant Grove, UT 84062-5518
Phone (509) 388-4319

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

State licenses

LicenseStateTypeSpecialty
9086704-3904UTMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1679939599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 W 250 S UNIT D203",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840625518",
            "telephone_number": "509-388-4319",
            "fax_number": "801-491-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 N 1650 W",
            "address_2": "SPRINGVILLE",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846635066",
            "telephone_number": "801-704-1364",
            "fax_number": "801-491-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KIEREA",
        "middle_name": "CHANELLE",
        "credential": "A.M.F.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "9086704-3904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.