Active NPI
Katrina Ann Miller, M.ED., CCC-A
- Audiologist
- Winchester, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2201000666
- Practice address
- 142 Linden Dr
Suite 106
Winchester, VA 22601-6901 - Phone
- (540) 722-7282
- Fax
- (540) 722-5060
- NPI assigned
- Jul 14, 2008
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2201000666 | VA | Primary |
Addresses
Primary practice location
142 Linden Dr
Suite 106
Winchester, VA 22601-6901
Mailing address
136 Linden Dr
Suite 104
Winchester, VA 22601-6900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00886417 | Other | VA | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
142 Linden Dr
Winchester, VA 22601-6901
Phone (540) 722-7282
920 N Shenandoah Ave
Suite 202
Front Royal, VA 22630-3568
Phone (540) 749-2349
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2201000666 | VA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| Shenandoah Head and Neck Specialists, PLC | Current | Accepting new patients |
Locations
920 N Shenandoah Ave
Ste 202
Front Royal, VA 22630
Phone (540) 535-0000
650 Cedar Creek Grade
Ste 100
Winchester, VA 22601
Phone (540) 535-0000
136 Linden Dr
Ste 104
Winchester, VA 22601
142 Linden Dr
Ste 106
Winchester, VA 22601
Phone (540) 722-5060
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.
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- NPI 1275504508
VA
-
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- NPI 1174233530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299196800000",
"number": "1710141379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 LINDEN DR",
"address_2": "SUITE 104",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226016900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 LINDEN DR",
"address_2": "SUITE 106",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226016901",
"telephone_number": "540-722-7282",
"fax_number": "540-722-5060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KATRINA",
"middle_name": "ANN",
"credential": "M.ED., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-14",
"last_updated": "2011-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "VA",
"license": "2201000666",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00886417",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winchester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.