Active NPI
Kelli A Miller, APRN
- Family Nurse Practitioner
- Denver, NC
National Provider Identifier
1780660118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201950
- Practice address
- 294 N Highway 16
Suite a
Denver, NC 28037-8011 - Phone
- (704) 489-2400
- Fax
- (704) 489-2900
- NPI assigned
- Dec 18, 2005
- Last updated
- Jun 17, 2008
- 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 | 201950 | NC | Primary |
Addresses
Primary practice location
294 N Highway 16
Suite a
Denver, NC 28037-8011
Mailing address
4129 Mountain Cove Dr
Charlotte, NC 28216-7776
Phone (704) 393-3593
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133E0 | Other | NC | BCBS |
| 89133E0 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Health Connection | Past | Accepting new patients |
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Charlotte, NC
- NPI 1578597555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213660800000",
"number": "1780660118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4129 MOUNTAIN COVE DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282167776",
"telephone_number": "704-393-3593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "294 N HIGHWAY 16",
"address_2": "SUITE A",
"city": "DENVER",
"state": "NC",
"postal_code": "280378011",
"telephone_number": "704-489-2400",
"fax_number": "704-489-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KELLI",
"middle_name": "A",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-18",
"last_updated": "2008-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "201950",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "133E0",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89133E0",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.