Active NPI
Signe Louise Miller
- Peer Specialist
- Salem, OR
National Provider Identifier
1730741521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 4275 Commercial St SE Ste 180
Salem, OR 97302-4087 - Phone
- (503) 363-8068
- NPI assigned
- Jul 2, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
4275 Commercial St SE Ste 180
Salem, OR 97302-4087
Mailing address
PO Box 2288
Waldport, OR 97394-2288
Phone (541) 961-3189
Other practice location 1
415 Waldport Heights Drive
Waldport, OR 97394-2288
Phone (541) 505-2511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| THW1793 | Other | OR | TRADITIONAL HEALTH WORKER REGISTRY: PEER SUPPORT SPECIALIST |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | signem@ofsn.net | Oregon Family Support Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1730741521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2288",
"city": "WALDPORT",
"state": "OR",
"postal_code": "973942288",
"telephone_number": "541-961-3189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4275 COMMERCIAL ST SE STE 180",
"city": "SALEM",
"state": "OR",
"postal_code": "973024087",
"telephone_number": "503-363-8068"
}
],
"practiceLocations": [
{
"address_1": "415 Waldport Heights Drive",
"address_purpose": "LOCATION",
"city": "Waldport",
"state": "OR",
"postal_code": "973942288",
"country_code": "US",
"telephone_number": "541-505-2511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "SIGNE",
"middle_name": "LOUISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-02",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRADITIONAL HEALTH WORKER REGISTRY: PEER SUPPORT SPECIALIST",
"identifier": "THW1793",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "signem@ofsn.net",
"affiliation": "Y",
"endpointDescription": "secure email",
"affiliationName": "Oregon Family Support Network",
"address_1": "4275 Commercial St SE Ste 180",
"city": "Salem",
"state": "OR",
"country_code": "US",
"postal_code": "973024087",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.