Individual provider Active NPI

Kayla Miller, RN

  • Administrator Registered Nurse
  • Bismarck, ND
National Provider Identifier
1699451013
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
R40879 Issued in ND
Practice address
1308 Elbowood LN
Bismarck, ND 58503-5712
Phone
(701) 751-8260
NPI assigned
Jun 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X R40879 ND
Psychiatric/Mental Health Registered Nurse 163WP0808X R40879 ND
Administrator Registered Nurse 163WA2000X R40879 ND Primary
Case Management Registered Nurse 163WC0400X R40879 ND

Addresses

Primary practice location

1308 Elbowood LN
Bismarck, ND 58503-5712

Mailing address

525 N 9TH St
Bismarck, ND 58501-4510
Phone (701) 751-2887

Other practice location 1

525 N 9th St
Bismarck, ND 58501-4510
Phone (701) 751-2887

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R40879NDMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1699451013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N 9TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014510",
            "telephone_number": "701-751-2887",
            "fax_number": "701-751-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 ELBOWOOD LN",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585035712",
            "telephone_number": "701-751-8260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 N 9th St",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585014510",
            "country_code": "US",
            "telephone_number": "701-751-2887",
            "fax_number": "701-751-0887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KAYLA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "ND",
            "license": "R40879",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "ND",
            "license": "R40879",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "ND",
            "license": "R40879",
            "primary": true
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "ND",
            "license": "R40879",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.