Active NPI
Robert Edward Miller, RN
- Continuing Education/Staff Development Registered Nurse
- McClellan, CA
National Provider Identifier
1861550808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Continuing Education/Staff Development Registered Nurse
- License
- 560859
- Practice address
- 3230 Peacekeeper Way BLDG 209
McClellan, CA 95652-2600 - Phone
- (916) 830-1526
- Fax
- (916) 929-1861
- NPI assigned
- Dec 4, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 560859 | CA | |
| Case Management Registered Nurse | 163WC0400X | 560859 | CA | |
| Continuing Education/Staff Development Registered Nurse | 163WC1600X | 560859 | CA | Primary |
| Emergency Registered Nurse | 163WE0003X | 560859 | CA | |
| Flight Registered Nurse | 163WF0300X | 560859 | CA |
Addresses
Primary practice location
3230 Peacekeeper Way BLDG 209
McClellan, CA 95652-2600
Mailing address
6720 Linda Sue Way
Fair Oaks, CA 95628-3024
Phone (916) 847-4570
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 560859 | CA | MD | Emergency Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connected Psychiatric Care, a Professional Nursing Corporation | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Sacramento, CA
- NPI 1902737893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1861550808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6720 LINDA SUE WAY",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956283024",
"telephone_number": "916-847-4570",
"fax_number": "916-965-8956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3230 PEACEKEEPER WAY BLDG 209",
"city": "MCCLELLAN",
"state": "CA",
"postal_code": "956522600",
"telephone_number": "916-830-1526",
"fax_number": "916-929-1861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ROBERT",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "CA",
"license": "560859",
"primary": false
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "CA",
"license": "560859",
"primary": false
},
{
"code": "163WC1600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Continuing Education/Staff Development",
"state": "CA",
"license": "560859",
"primary": true
},
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "CA",
"license": "560859",
"primary": false
},
{
"code": "163WF0300X",
"taxonomy_group": "",
"desc": "Registered Nurse, Flight",
"state": "CA",
"license": "560859",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McClellan, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.