Active NPI
Geneva Lynn Miller, LVN 11
- Licensed Psychiatric Technician
- Red Bluff, CA
National Provider Identifier
1811794746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- 240675
- Practice address
- 818 Main St
Red Bluff, CA 96080-2759 - Phone
- (530) 527-8491
- NPI assigned
- Feb 27, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | 240675 | CA | Primary |
| Licensed Vocational Nurse | 164X00000X | 240675 | CA |
Addresses
Primary practice location
818 Main St
Red Bluff, CA 96080-2759
Mailing address
19685 Lake California Dr
Cottonwood, CA 96022-7651
Phone (707) 496-2785
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 |
|---|---|---|---|
| 240675 | CA | MD | Licensed Psychiatric Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tehama County | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Red Bluff, CA
- NPI 1982810107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1811794746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19685 LAKE CALIFORNIA DR",
"city": "COTTONWOOD",
"state": "CA",
"postal_code": "960227651",
"telephone_number": "707-496-2785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 MAIN ST",
"city": "RED BLUFF",
"state": "CA",
"postal_code": "960802759",
"telephone_number": "530-527-8491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "GENEVA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LVN 11",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-27",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "240675",
"primary": true
},
{
"code": "164X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "240675",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Red Bluff, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.