Active NPI
Tericka Miller
- Psychiatric/Mental Health Nurse Practitioner
- Columbia, MD
National Provider Identifier
1689510398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R209266
- Practice address
- 5501 Twin Knolls Rd Ste 107
Columbia, MD 21045-3260 - Phone
- (240) 583-0262
- NPI assigned
- Apr 25, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R209266 | MD | Primary |
Addresses
Primary practice location
5501 Twin Knolls Rd Ste 107
Columbia, MD 21045-3260
Mailing address
7375 Executive Place
Suite 400 #1139
Lanham, MD 20706
Phone (240) 583-0262
Other practice location 1
5501 Twin Knolls Rd Ste 107
Columbia, MD 21045-3260
Phone (240) 583-0262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R209266 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1689510398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7375 EXECUTIVE PLACE",
"address_2": "SUITE 400 #1139",
"city": "LANHAM",
"state": "MD",
"postal_code": "20706",
"telephone_number": "240-583-0262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5501 TWIN KNOLLS RD STE 107",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210453260",
"telephone_number": "240-583-0262"
}
],
"practiceLocations": [
{
"address_1": "5501 Twin Knolls Rd Ste 107",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MD",
"postal_code": "210453260",
"country_code": "US",
"telephone_number": "240-583-0262",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "TERICKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-25",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R209266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.