Ronette C Miller

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

PCA47897420150831 Issued in MN

Practice address

400 126TH Ave NW
Coon Rapids, MN 55448-1502

Phone

(612) 239-9830

NPI assigned

Sep 8, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1790203800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 126TH AVE NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554481502",
            "telephone_number": "612-239-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 126TH AVE NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554481502",
            "telephone_number": "612-239-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RONETTE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MN",
            "license": "PCA47897420150831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDHS",
            "identifier": "A739150100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Colleen Miller, PSY.D.
• Emily Josephine Miller, PA-C
• Kayla Joy Miller, PA-C
• Linda M Miller, CRNA
• Mary S Miller, CRNA
• Thomas William Miller, D.C.
• Jeffrey Mills
• Erica Milton, LICSW
• Trinity Anastia Milton
• Michael X Min, M.D.

• In Home Supportive Care Agency in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• In Home Supportive Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.