Stefvany Rae Miller, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2018 Issued in MI

Practice address

611 Wheaton Ave
Kalamazoo, MI 49008-1357

Phone

(517) 513-9851

NPI assigned

Jan 8, 2018

Sex

Female

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

State licenses

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1871000166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 WHEATON AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081357",
            "telephone_number": "517-513-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 WHEATON AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081357",
            "telephone_number": "517-513-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STEFVANY",
        "middle_name": "RAE",
        "name_prefix": "Miss",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Gene Miller, EDD
• Nekia Miller
• Olivia A Miller, MD
• Renee Miller, CRNA
• Shanica Nicole Miller
• Therese Miller
• Tracey Miller, RN
• Vanessa Miller, MA, TLLP
• Vincent Miller
• Jennifer Mills Mills, PHD

• Athletic Trainer in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.