Active NPI
Kimberly M Miller, CNM
- Midwife
- Millersburg, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- APRN.CNM.019427
- Practice address
- 1261 Wooster Rd Ste 220
Millersburg, OH 44654-1570 - Phone
- (330) 674-2822
- Fax
- (330) 763-2063
- NPI assigned
- Feb 20, 2020
- Last updated
- Feb 20, 2020
- 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 |
|---|---|---|---|---|
| Midwife | 176B00000X | APRN.CNM.019427 | OH | Primary |
Addresses
Primary practice location
1261 Wooster Rd Ste 220
Millersburg, OH 44654-1570
Mailing address
981 Wooster Rd
Millersburg, OH 44654-1536
Phone (330) 674-1584
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2806477 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloomington Medical Services LLC | Current | Accepting new patients | |
| Health Professionals of Holmes County, Inc | Current | Accepting new patients | |
| Health Professionals of Holmes County, Inc | Past | Accepting new patients | |
| Health Professionals of Holmes County, Inc | Past | Accepting new patients |
Locations
1261 Wooster Rd
Ste 200
Millersburg, OH 44654
Phone (330) 674-2822
981 Wooster Rd
Millersburg, OH 44654
Phone (330) 674-1015
1761 Beall Ave
Wooster, OH 44691
Phone (330) 263-8100
546 Winter St
Ste 100
Wooster, OH 44691
Phone (330) 345-2229
Interoperability endpoints
- kimberlymiller@hphc.allscriptsdirect.net
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Wooster, OH
- NPI 1528246683
-
dba Pomerene OB/GYN Services
- Specialist
- Sugarcreek, OH
- NPI 1083897060
-
dba Pomerene Medical Center East
- Urgent Care Clinic/Center
- Millersburg, OH
- NPI 1528726296
-
- Specialist
- Millersburg, OH
- NPI 1225177132
-
- Rural Health Clinic/Center
- Millersburg, OH
- NPI 1790215614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1730712530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "981 WOOSTER RD",
"city": "MILLERSBURG",
"state": "OH",
"postal_code": "446541536",
"telephone_number": "330-674-1584",
"fax_number": "330-674-9314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1261 WOOSTER RD STE 220",
"city": "MILLERSBURG",
"state": "OH",
"postal_code": "446541570",
"telephone_number": "330-674-2822",
"fax_number": "330-763-2063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KIMBERLY",
"middle_name": "M",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-20",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "OH",
"license": "APRN.CNM.019427",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2806477",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Millersburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.