Individual provider Active NPI

Amy L Miller, APRN

  • Adult Health Nurse Practitioner
  • Jeffersonville, IN
National Provider Identifier
1710230339
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
71004678A Issued in IN
Practice address
1802 E 10TH St
Jeffersonville, IN 47130
Phone
(812) 503-5100
Fax
(770) 573-9513
NPI assigned
Oct 19, 2012
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3007741 KY
Adult Health Nurse Practitioner 363LA2200X 3007741 KY
Adult Health Nurse Practitioner 363LA2200X 71004678A IN Primary

Addresses

Primary practice location

1802 E 10TH St
Jeffersonville, IN 47130

Mailing address

2100 Market St Ste 101
Charlestown, IN 47111-9535
Phone (812) 503-5100

Other practice location 1

2230 Edsel Ln NW Ste 1
Corydon, IN 47112-2136
Phone (812) 734-0303

Other practice location 2

3841 Ruckriegel Pkwy
Suite 104
Louisville, KY 40299-3986
Phone (502) 791-8700

Other practice location 3

1511 Nina Rd
Jeffersonville, IN 47130-6119
Phone (812) 670-6845

Other practice location 4

1804 E 10th St
Jeffersonville, IN 47130-6016
Phone (812) 288-2488

Other practice location 5

801 Barret Ave
Louisville, KY 40204-1747
Phone (502) 663-9327

Other practice location 6

801 Barret Ave
Louisville, KY 40204-1747
Phone (502) 663-9327

Other practice location 7

815 Short St
Charlestown, IN 47111-1241
Phone (812) 503-5100

Other identifiers 2

IdentifierTypeStateIssuer
201197160MedicaidIN
7100231300MedicaidKY

Other names 1

  • Amy L Scott Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130219000311 KY Practitioner - Nurse Practitioner 5395990519
I20131205001876 IN Practitioner - Nurse Practitioner 5395990519 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3007741KYMDNurse Practitioner
71004678AINMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harrison County Chiropractic PC PastSince Dec 13, 2020 Accepting new patients
Zilmed, Inc. Nurse Practitioner PastSince Jan 1, 2015 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1710230339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MARKET ST STE 101",
            "city": "CHARLESTOWN",
            "state": "IN",
            "postal_code": "471119535",
            "telephone_number": "812-503-5100",
            "fax_number": "770-573-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 E 10TH ST",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "47130",
            "telephone_number": "812-503-5100",
            "fax_number": "770-573-9513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2230 Edsel Ln NW Ste 1",
            "address_purpose": "LOCATION",
            "city": "Corydon",
            "state": "IN",
            "postal_code": "471122136",
            "country_code": "US",
            "telephone_number": "812-734-0303",
            "fax_number": "812-225-5145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3841 Ruckriegel Pkwy",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402993986",
            "country_code": "US",
            "telephone_number": "502-791-8700",
            "fax_number": "502-742-8523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1511 Nina Rd",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471306119",
            "country_code": "US",
            "telephone_number": "812-670-6845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1804 E 10th St",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471306016",
            "country_code": "US",
            "telephone_number": "812-288-2488",
            "fax_number": "770-573-9513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Barret Ave",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402041747",
            "country_code": "US",
            "telephone_number": "502-663-9327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Barret Ave",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402041747",
            "country_code": "US",
            "telephone_number": "502-663-9327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 Short St",
            "address_purpose": "LOCATION",
            "city": "Charlestown",
            "state": "IN",
            "postal_code": "471111241",
            "country_code": "US",
            "telephone_number": "812-503-5100",
            "fax_number": "770-573-9513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-19",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3007741",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3007741",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71004678A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201197160",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100231300",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "SCOTT",
            "middle_name": "L",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.