Individual provider Active NPI

Brandy P Miller, CRNP

  • Acute Care Nurse Practitioner
  • Boaz, AL
National Provider Identifier
1689112484
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-100928 Issued in AL
Practice address
122 N Snead St
Boaz, AL 35957
Phone
(256) 840-5800
Fax
(256) 840-5600
NPI assigned
Feb 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-100928 AL Primary

Addresses

Primary practice location

122 N Snead St
Boaz, AL 35957

Mailing address

122 N Snead St
Boaz, AL 35957-1763
Phone (256) 840-5800

Other practice location 1

1111 Wayne Rd NW Ste 6
Huntsville, AL 35806-3573
Phone (256) 288-3333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170419000381 AL Practitioner - Nurse Practitioner 2668758095 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clifton Care Inc CurrentSince Sep 10, 2018 Accepting new patients
Remedy Behavioral Health, LLC CurrentSince Feb 1, 2021 Accepting new patients
Boaz Family Medicine, PC PastSince Oct 6, 2019 Accepting new patients

Locations

122 N Snead St
Boaz, AL 35957
Phone (256) 558-0143

1609 Mockingbird Ct
Ste B
Florence, AL 35630
Phone (256) 320-7778

1001 S Jackson Hwy
Sheffield, AL 35660
Phone (256) 320-7778

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEDJAD

Organizations & group practices 3

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": "1485907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1689112484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 N SNEAD ST",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359571763",
            "telephone_number": "256-840-5800",
            "fax_number": "256-840-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N SNEAD ST",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "35957",
            "telephone_number": "256-840-5800",
            "fax_number": "256-840-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Wayne Rd NW Ste 6",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358063573",
            "country_code": "US",
            "telephone_number": "256-288-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BRANDY",
        "middle_name": "P",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-01",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-100928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boaz, AL

Sources for this page

Verify at the official NPI Registry.