Active NPI
Heather Ann Petersohn Miller, AU.D.
- Assistive Technology Supplier Audiologist
- Kenosha, WI
National Provider Identifier
1780748269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistive Technology Supplier Audiologist
- License
- 355-156
- Practice address
- 6308 8TH Ave
Suite 3000
Kenosha, WI 53143-5031 - Phone
- (262) 656-3300
- Fax
- (262) 656-3265
- NPI assigned
- Dec 20, 2006
- Last updated
- Sep 11, 2025
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 355-156 | WI | |
| Assistive Technology Practitioner Audiologist | 231HA2400X | 355-156 | WI | |
| Assistive Technology Supplier Audiologist | 231HA2500X | 355-156 | WI | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 355-156 | WI |
Addresses
Primary practice location
6308 8TH Ave
Suite 3000
Kenosha, WI 53143-5031
Mailing address
6308 8TH Ave
Suite 3000
Kenosha, WI 53143-5031
Phone (262) 656-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41140100 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 355-156 | WI | MD | Audiologist-Hearing Aid Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1780748269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6308 8TH AVE",
"address_2": "SUITE 3000",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531435031",
"telephone_number": "262-656-3300",
"fax_number": "262-656-3265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6308 8TH AVE",
"address_2": "SUITE 3000",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531435031",
"telephone_number": "262-656-3300",
"fax_number": "262-656-3265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "HEATHER",
"middle_name": "ANN PETERSOHN",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WI",
"license": "355-156",
"primary": false
},
{
"code": "231HA2400X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": "WI",
"license": "355-156",
"primary": false
},
{
"code": "231HA2500X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Supplier",
"state": "WI",
"license": "355-156",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "WI",
"license": "355-156",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41140100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.