Active NPI
Deborah Miller
- Family Nurse Practitioner
- Honolulu, HI
National Provider Identifier
1811592215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3934
- Practice address
- 377 Keahole St
Honolulu, HI 96825-3405 - Phone
- (808) 395-4427
- NPI assigned
- Dec 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001180924 | VA | |
| Registered Nurse | 163W00000X | 110496-0 | HI | |
| Family Nurse Practitioner | 363LF0000X | 0024185104 | VA | |
| Family Nurse Practitioner | 363LF0000X | 11022009 | FL | |
| Family Nurse Practitioner | 363LF0000X | 3934 | HI | Primary |
Addresses
Primary practice location
377 Keahole St
Honolulu, HI 96825-3405
Mailing address
377 Keahole St
Honolulu, HI 96825-3405
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110496-0 | HI | MD | Registered Nurse |
| 0001180924 | VA | MD | Registered Nurse |
| 11022009 | FL | MD | Family Nurse Practitioner |
| 0024185104 | VA | MD | Family Nurse Practitioner |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1811592215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "377 KEAHOLE ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968253405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "377 KEAHOLE ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968253405",
"telephone_number": "808-395-4427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "DEBORAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-02",
"last_updated": "2023-02-24",
"certification_date": "2023-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001180924",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "HI",
"license": "110496-0",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024185104",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11022009",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "HI",
"license": "3934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.