Courtney Michelle Miller

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

17039 Oak St
Dillwyn, VA 23936-3019

Phone

(434) 394-0703

NPI assigned

Oct 3, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1861272346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5944 W JAMES ANDERSON HWY",
            "city": "GLADSTONE",
            "state": "VA",
            "postal_code": "245533707",
            "telephone_number": "434-316-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17039 OAK ST",
            "city": "DILLWYN",
            "state": "VA",
            "postal_code": "239363019",
            "telephone_number": "434-394-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "COURTNEY",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shamika Harrell
• Deanna Fay Harris
• Roselyn E Hobbs, FNP-C
• Christopher O Hucks, NP
• Mattowler Inc.
• Jaime Marie Miller
• Naseer Ahmad Mobashar, M.D.
• Paige Nolt, LCSW
• Gabrielle Jane Olivera, BSN, RN, SNM, SWHNP
• Tawanna Patterson, LPC

• All providers in Dillwyn, VA
• Behavior Technician in Virginia

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

Verify at the official NPI Registry.