Active NPI
Kaye Miller, C FNP
- Family Nurse Practitioner
- Charleston, WV
National Provider Identifier
1891774857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 36817
- Practice address
- 1520 Washington St E
Charleston, WV 25311-2511 - Phone
- (304) 343-7000
- Fax
- (130) 434-3700
- NPI assigned
- Jan 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 36817 | WV | Primary |
Addresses
Primary practice location
1520 Washington St E
Charleston, WV 25311-2511
Mailing address
1520 Washington St E
Charleston, WV 25311-2511
Phone (304) 343-7000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001721074 | Other | WV | MS BCBS |
| 7103127000 | Medicaid | WV |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36817 | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Womencare, Inc | Past | 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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Winfield, WV
- NPI 1760268643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383609600000",
"number": "1891774857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 WASHINGTON ST E",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253112511",
"telephone_number": "304-343-7000",
"fax_number": "304-343-7009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 WASHINGTON ST E",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253112511",
"telephone_number": "304-343-7000",
"fax_number": "130-434-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KAYE",
"credential": "C FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-10",
"last_updated": "2013-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "36817",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MS BCBS",
"identifier": "001721074",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7103127000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.