Active NPI
Corinne Land Miller, NNP-BC
- Neonatal Nurse Practitioner
- Tacoma, WA
National Provider Identifier
1689198111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- AP60809280
- Practice address
- 315 Martin Luther King Junior Way
Tacoma, WA 98405 - Phone
- (253) 403-1019
- NPI assigned
- Jul 26, 2017
- 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 |
|---|---|---|---|---|
| Neonatal Intensive Care Registered Nurse | 163WN0002X | 001737777 | WA | |
| Neonatal Nurse Practitioner | 363LN0000X | 60809280 | WA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 001737777 | WA | |
| Neonatal Nurse Practitioner | 363LN0000X | AP60809280 | WA | Primary |
Addresses
Primary practice location
315 Martin Luther King Junior Way
Tacoma, WA 98405
Mailing address
608 N State St
Tacoma, WA 98403-1037
Phone (303) 819-6091
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60809280 | WA | MD | Neonatal Nurse Practitioner |
| AP60809280 | WA | MD | Neonatal Nurse Practitioner |
| 001737777 | WA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Medical Center Specialty Physicians, LLC | Current | Accepting new patients | |
| Multicare Health System | Past | Accepting new patients |
Locations
3900 Capital Mall Dr SW
Olympia, WA 98502
Phone (360) 704-4743
Interoperability endpoints
- cmiller259917@direct.multicare.org
Organizations & group practices 2
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.
-
- Occupational Medicine Physician
- Olympia, WA
- NPI 1760785281
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1841258639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515628800000",
"number": "1689198111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 N STATE ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984031037",
"telephone_number": "303-819-6091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 MARTIN LUTHER KING JUNIOR WAY",
"city": "TACOMA",
"state": "WA",
"postal_code": "98405",
"telephone_number": "253-403-1019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "CORINNE",
"middle_name": "LAND",
"credential": "NNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-26",
"last_updated": "2018-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WN0002X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neonatal Intensive Care",
"state": "WA",
"license": "001737777",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "WA",
"license": "60809280",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WA",
"license": "001737777",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "WA",
"license": "AP60809280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; 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.