Individual provider Active NPI

Whitney Miller

  • Nursing Home Administrator
  • Marshfield, MO
National Provider Identifier
1831575836
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Home AdministratorTaxonomy code 376G00000X
License
6415 Issued in MO
Practice address
1687 W Washington St
Marshfield, MO 65706-2244
Phone
(417) 859-5144
Fax
(417) 859-5012
NPI assigned
Aug 3, 2015
Last updated
Aug 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Home Administrator 376G00000X 6415 MO Primary

Addresses

Primary practice location

1687 W Washington St
Marshfield, MO 65706-2244

Mailing address

1687 W Washington St
Marshfield, MO 65706-2244
Phone (417) 859-5144

Other identifiers 1

IdentifierTypeStateIssuer
101497709MedicaidMO

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

LicenseStateTypeSpecialty
6415MOMDNursing Home Administrator

Practice roles

OrganizationSpecialtyStatusNew patients
Webster County Nursing Home District Current Accepting new patients
Webster County Nursing Home District Current Accepting new patients

Locations

1687 W Washington St
Marshfield, MO 65706
Phone (417) 859-5144

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": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1831575836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1687 W WASHINGTON ST",
            "city": "MARSHFIELD",
            "state": "MO",
            "postal_code": "657062244",
            "telephone_number": "417-859-5144",
            "fax_number": "417-859-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1687 W WASHINGTON ST",
            "city": "MARSHFIELD",
            "state": "MO",
            "postal_code": "657062244",
            "telephone_number": "417-859-5144",
            "fax_number": "417-859-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "WHITNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "MO",
            "license": "6415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101497709",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.