Individual provider Active NPI

Adam Scot Miller, MSN RN

  • Critical Care Medicine Registered Nurse
  • Phoenix, AZ
National Provider Identifier
1841871654
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Registered NurseTaxonomy code 163WC0200X
License
199987 Issued in AZ
Practice address
200 E Thomas Rd Unit 233
Phoenix, AZ 85012-1182
Phone
(970) 379-7995
NPI assigned
Apr 15, 2021
Last updated
Apr 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WC0200X 199987 AZ Primary

Addresses

Primary practice location

200 E Thomas Rd Unit 233
Phoenix, AZ 85012-1182

Mailing address

200 E Thomas Rd Unit 233
Phoenix, AZ 85012-1182
Phone (970) 379-7995

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL phoenix

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
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
199987AZMDCritical Care Medicine Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1841871654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E THOMAS RD UNIT 233",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121182",
            "telephone_number": "970-379-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E THOMAS RD UNIT 233",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121182",
            "telephone_number": "970-379-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ADAM",
        "middle_name": "SCOT",
        "credential": "MSN RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "AZ",
            "license": "199987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "phoenix",
            "affiliation": "N",
            "address_1": "200 E Thomas Rd Unit 233",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850121182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.