Danielle Miller Tabula, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4301067273 Issued in MI

Practice address

3000 Town Ctr
Southfield, MI 48075-1102

Phone

(313) 284-2204

NPI assigned

Dec 3, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: danielle.miller.tabula.1@26566.direct.athenahealth.com
• Direct secure messaging: dtabula@landmarkhealth-direct.org

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.

• Homeward Physicians , PLLC

  • General Practice Physician
  • Marquette, MI
  • NPI 1538828314
  Medicare reassignment

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1780081950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 TOWN CTR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480751102",
            "telephone_number": "313-284-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 TOWN CTR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480751102",
            "telephone_number": "313-284-2204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1083 Suncrest Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Lapeer",
            "state": "MI",
            "postal_code": "484464421",
            "country_code": "US",
            "telephone_number": "810-245-9700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32605 W 12 Mile Rd Ste 195",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483343390",
            "country_code": "US",
            "telephone_number": "313-306-2023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER TABULA",
        "first_name": "DANIELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1562",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "4301067273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Millennial Infusion Centers Inc
• Millennium Dentistry PLLC
• Millennium Home Health Care, Inc
• Millennium Hospice Care LLC
• Miller Rehabilitation Physicians, PC
• Alexis Miller
• Alyssa Miller
• Bernard Miller, O.D.
• Cassandra Miller
• Chandra D Miller

• Physician Assistant in Southfield, MI
• Providers in Southfield, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.

Verify at the official NPI Registry.