Kurestin Jade Miller, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD494724 Issued in PA

Practice address

20 Community LN
Gordonville, PA 17529-9707

Phone

(717) 687-9407

Fax

(717) 687-9237

NPI assigned

Mar 29, 2022

Last updated

Jun 10, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Clinic for Special Children, Inc.

  • Pediatrics Physician
  • Gordonville, PA
  • NPI 1154541837
  NPD (past)

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1700536927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 500",
            "city": "INTERCOURSE",
            "state": "PA",
            "postal_code": "175340500",
            "telephone_number": "717-687-9407",
            "fax_number": "717-687-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COMMUNITY LN",
            "city": "GORDONVILLE",
            "state": "PA",
            "postal_code": "175299707",
            "telephone_number": "717-687-9407",
            "fax_number": "717-687-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KURESTIN",
        "middle_name": "JADE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD494724",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD494724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gordonville Fire Company Ambulance
• Julia Goroff, DO
• Ambur Rae Gregorio
• Integrate Therapy and Wellness Collective
• Grace Loudon Meier, MD
• Samuel Miller
• Northern Lancaster County Medical Group (WellSpan Family Health - Leacock)
• Northern Lancaster County Medical Group (Harvest Drive Family Practice)
• Laura Poskitt, DO
• Stephen Paul Raffensperger, DDS

• Pediatrics Physician in Gordonville, PA
• Providers in Gordonville, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.