Active NPI
Kimberlee Ann Miller, CNP
- Family Nurse Practitioner
- Sardinia, OH
National Provider Identifier
1740365824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP03340
- Practice address
- 7109 Bachman Rd
Sardinia, OH 45171-8242 - Phone
- (937) 446-2531
- Fax
- (937) 446-3441
- NPI assigned
- Oct 26, 2006
- Last updated
- Jul 21, 2022
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP03340 | OH | Primary |
Addresses
Primary practice location
7109 Bachman Rd
Sardinia, OH 45171-8242
Mailing address
7109 Bachman Rd
Sardinia, OH 45171-8242
Phone (937) 446-2531
Other practice location 1
111 Vandament Way
Mount Orab, OH 45154-8395
Phone (937) 444-9186
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: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6300 N Main St
Dayton, OH 45415-3154
Phone (937) 275-1500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP03340 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mahajan Therapeutics, LLC | Current | Accepting new patients |
Locations
6300 N Main St
Dayton, OH 45415
Phone (937) 275-1500
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Dayton, OH
- NPI 1669531810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1740365824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7109 BACHMAN RD",
"city": "SARDINIA",
"state": "OH",
"postal_code": "451718242",
"telephone_number": "937-446-2531",
"fax_number": "937-446-3441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7109 BACHMAN RD",
"city": "SARDINIA",
"state": "OH",
"postal_code": "451718242",
"telephone_number": "937-446-2531",
"fax_number": "937-446-3441"
}
],
"practiceLocations": [
{
"address_1": "111 Vandament Way",
"address_purpose": "LOCATION",
"city": "Mount Orab",
"state": "OH",
"postal_code": "451548395",
"country_code": "US",
"telephone_number": "937-444-9186",
"fax_number": "937-444-9189",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "KIMBERLEE",
"middle_name": "ANN",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "NP03340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sardinia, OH
- Laura Jean Martin
- Mandy McClure
- Mercy Health - Clermont Hospital LLC (Mercy Health-Sardinia Family Medicine)
- Mercy Health Physicians Cincinnati LLC
- Mercy Health Physicians Cincinnati Specialty Care LLC
- Regina Sue Miller, RN
- Christopher Robert Morris, AT
- Erin M. Munn, PTA
- Linda N Neu, CPT
- Joellen M Noble, IBCLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- 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.