Individual provider Active NPI

Megan Joan Miller, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1730856816
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F05210038 Issued in IN
Practice address
4700 N 51St Ave Ste 4
Phoenix, AZ 85031-1237
Phone
(623) 846-7575
Fax
(623) 846-3778
NPI assigned
Aug 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28233974A IN
Family Nurse Practitioner 363LF0000X F05210038 IN Primary

Addresses

Primary practice location

4700 N 51St Ave Ste 4
Phoenix, AZ 85031-1237

Mailing address

1508 Glen Eden LN
Evansville, IN 47715-5979
Phone (812) 483-9880

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

State licenses

LicenseStateTypeSpecialty
28233974AINMDRegistered Nurse
F05210038INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Scottsdale Pediatric Associates Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mmiller@mvpkidscare.opdirect.net

Organizations & group practices 1

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": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1730856816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 GLEN EDEN LN",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477155979",
            "telephone_number": "812-483-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N 51ST AVE STE 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311237",
            "telephone_number": "623-846-7575",
            "fax_number": "623-846-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MEGAN",
        "middle_name": "JOAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28233974A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "F05210038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.