Individual provider Active NPI

Zachary Miller

  • Nurse Practitioner
  • Washington, DC
National Provider Identifier
1770093080
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP1059966 Issued in DC
Practice address
1525 14TH St NW
Washington, DC 20005-3706
Phone
(304) 677-8837
NPI assigned
Oct 2, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP1059966 DC Primary

Addresses

Primary practice location

1525 14TH St NW
Washington, DC 20005-3706

Mailing address

201 E 12TH St Apt 219
Oakland, CA 94606-2241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240501002803 DC Practitioner - Nurse Practitioner 6709226228 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Whitman-Walker Clinic, Inc CurrentSince Feb 18, 2024 Accepting new patients
Whitman-Walker Clinic Inc. CurrentSince Feb 18, 2024 Accepting new patients
Whitman-Walker Clinic, Inc. Past Accepting new patients

Locations

1701 14th St NW
Washington, DC 20009
Phone (202) 745-7000

1201 Sycamore Dr SE
Washington, DC 20032
Phone (202) 745-7000

1734 14th St NW
Washington, DC 20009
Phone (202) 939-7801

1377 R St NW
Fl 2
Washington, DC 20009
Phone (202) 745-7000

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whitman-Walker Clinic, Inc. 28 clinicians

Practice addresses (Care Compare)

1377 R St NW
FL 2
Washington, DC 20009-6293
Phone (202) 745-7000

1432 U St NW
Washington, DC 20009-3916
Phone (202) 797-3500

1701 14TH St NW
Elizabeth Taylor Medical Center
Washington, DC 20009-4308
Phone (202) 745-7000

1734 14TH St NW
Washington, DC 20009-4796
Phone (202) 939-7801

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1770093080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 12TH ST APT 219",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946062241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 14TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200053706",
            "telephone_number": "304-677-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ZACHARY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-02",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "NP1059966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.