Individual provider Active NPI

Cynthia Miller, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • The Dalles, OR
National Provider Identifier
1790166247
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10023355 Issued in OR
Practice address
1060 Webber St
The Dalles, OR 97058-3749
Phone
(541) 296-5452
NPI assigned
Jun 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 201402052RN OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10023355 OR Primary

Addresses

Primary practice location

1060 Webber St
The Dalles, OR 97058-3749

Mailing address

1060 Webber St
The Dalles, OR 97058-3749
Phone (541) 296-5452

Other practice location 1

1610 Woods Ct
Hood River, OR 97031-2911
Phone (541) 296-5452

Other names 1

  • Cyd Miller Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20241001004251 OR Practitioner - Nurse Practitioner 7719418722 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Moonshot Psychiatric Nurse Practitioner PCGroup PAC ID 9335589696, 79 clinicians

Practice addresses (Care Compare)

3456 SE Harold CT
Portland, OR 97202-4342
Phone (201) 748-2806

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201402052RNORMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Columbia Center for Living CurrentSince Sep 2, 2014 Accepting new patients
Cascadia Health CurrentSince Sep 23, 2024 Accepting new patients
Mid-Columbia Center for Living CurrentSince Apr 21, 2024 Accepting new patients
Cascadia Health Current Accepting new patients
Moonshot Psychiatric Nurse Practitioner PC Psychiatric/Mental Health CurrentSince Jan 10, 2025 Accepting new patients
Mid-Columbia Center for Living Past Accepting new patients

Locations

1610 Woods Ct
Hood River, OR 97031
Phone (541) 386-2620

4212 SE Division St
Ste 100
Portland, OR 97206
Phone (503) 238-0705

707 NW Everett St
Portland, OR 97209
Phone (503) 222-4906

1060 Webber St
The Dalles, OR 97058

Interoperability endpoints

  • Direct secure messaging: cmiller737753@direct.ochin.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1790166247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 WEBBER ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583749",
            "telephone_number": "541-296-5452",
            "fax_number": "541-296-9418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 WEBBER ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583749",
            "telephone_number": "541-296-5452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1610 Woods Ct",
            "address_purpose": "LOCATION",
            "city": "Hood River",
            "state": "OR",
            "postal_code": "970312911",
            "country_code": "US",
            "telephone_number": "541-296-5452",
            "fax_number": "541-386-6075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CYNTHIA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-10",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201402052RN",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10023355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYD",
            "last_name": "MILLER",
            "credential": "APRN-NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in The Dalles, OR

Sources for this page

Verify at the official NPI Registry.