Individual provider Active NPI

Katrina Ann Miller, M.ED., CCC-A

  • Audiologist
  • Winchester, VA
National Provider Identifier
1710141379
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201000666 Issued in VA
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

Updated by the provider on Mar 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00886417OtherVARR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080813000081 VA Practitioner - Qualified Audiologist 8729153697 Reassigns benefits to 2 organizations

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
Shenandoah Head and Neck Specialists, PLCGroup PAC ID 7416908546, 4 clinicians
West Virginia University Medical CorporationGroup PAC ID 1052224565, 1,974 clinicians

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

LicenseStateTypeSpecialty
2201000666VAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Sep 8, 2025 Accepting new patients
West Virginia University Medical Corporation CurrentSince Sep 8, 2025 Accepting new patients
Shenandoah Head and Neck Specialists, PLC CurrentSince Jul 1, 2008 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.

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.

Verify at the official NPI Registry.