Organization Active NPI

Miller Family Pediatrics

  • Pediatric Clinical Nurse Specialist
  • Washougal, WA
National Provider Identifier
1780121764
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X
Legal business name
MILLER FAMILY PEDIATRICS
Practice address
2632 E St Ste H
Washougal, WA 98671-1714
Phone
(559) 361-7109
NPI assigned
Jan 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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

Authorized official

Name
Scott Christopher Miller, PANPI 1073705315
Title
Owner
Phone
(559) 361-7109

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SP0200X Primary

Addresses

Primary practice location

2632 E St Ste H
Washougal, WA 98671-1714

Mailing address

2632 E St Ste H
Washougal, WA 98671-1714
Phone (559) 361-7109

National Provider Directory

National Provider Directory

Locations

2632 E St
Ste H
Washougal, WA 98671
Phone (360) 818-7500

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485475200000",
    "number": "1780121764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2632 E ST STE H",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986711714",
            "telephone_number": "559-361-7109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2632 E ST STE H",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986711714",
            "telephone_number": "559-361-7109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER FAMILY PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-01-27",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-361-7109",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washougal, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.