Individual provider Active NPI

Daphane Miller, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bristol, TN
National Provider Identifier
1790296622
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
23141 Issued in TN
Practice address
739 Bluff City Hwy Ste 3
Bristol, TN 37620-4637
Phone
(423) 534-9195
Fax
(423) 844-0360
NPI assigned
Oct 18, 2017
Last updated
Jul 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 24175442 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 23141 TN Primary

Addresses

Primary practice location

739 Bluff City Hwy Ste 3
Bristol, TN 37620-4637

Mailing address

739 Bluff City Hwy Ste 3
Bristol, TN 37620-4637
Phone (423) 534-9195

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address daphane.miller@dmpmhnp.com Health Information Exchange (HIE)
Direct Messaging Address daphane.miller@dmpmhnp.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20200311001530 TN Practitioner - Certified Clinical Nurse Specialist (CNS) 5395003115 Practice locations: Bristol, TN

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

739 Bluff City Hwy
Suite 5
Bristol, TN 37620-4637
Phone (423) 534-9195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-Cities Peace and Healing, PLLC Psychiatric/Mental Health CurrentSince Feb 23, 2025 Accepting new patients
The Office of Daphane Miller, PLLC Psychiatric/Mental Health CurrentSince Apr 9, 2023 Accepting new patients

Locations

739 Bluff City Hwy
Ste 3
Bristol, TN 37620
Phone (423) 534-9195

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1790296622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 BLUFF CITY HWY STE 3",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376204637",
            "telephone_number": "423-534-9195",
            "fax_number": "423-844-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 BLUFF CITY HWY STE 3",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376204637",
            "telephone_number": "423-534-9195",
            "fax_number": "423-844-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DAPHANE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "24175442",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "23141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "daphane.miller@dmpmhnp.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "739 Bluff City Hwy Ste 5",
            "city": "Bristol",
            "state": "TN",
            "country_code": "US",
            "postal_code": "376204637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "daphane.miller@dmpmhnp.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "739 Bluff City Hwy Ste 3",
            "city": "Bristol",
            "state": "TN",
            "country_code": "US",
            "postal_code": "376204637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bristol, TN

Sources for this page

Verify at the official NPI Registry.