Active NPI
Shana Miller
- Case Management Agency
- Riverton, UT
National Provider Identifier
1821989609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- F25-119739
- Practice address
- 12760 S Park Ave Unit 520
Riverton, UT 84065-3422 - Phone
- (801) 382-9811
- NPI assigned
- Jul 10, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | F25-119739 | UT | Primary |
Addresses
Primary practice location
12760 S Park Ave Unit 520
Riverton, UT 84065-3422
Mailing address
1132 E 800 S
Salt Lake City, UT 84102-3703
Phone (801) 352-9811
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 |
|---|---|---|---|
| F25-119739 | UT | MD | Case Management Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1821989609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1132 E 800 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841023703",
"telephone_number": "801-352-9811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12760 S PARK AVE UNIT 520",
"city": "RIVERTON",
"state": "UT",
"postal_code": "840653422",
"telephone_number": "801-382-9811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SHANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-10",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "UT",
"license": "F25-119739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.