Active NPI
Lisa Miller, N.D.
- Naturopath
- San Rafael, CA
National Provider Identifier
1912029018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- ND-87
- Practice address
- 1368 Lincoln Ave Ste 106
San Rafael, CA 94901-2122 - Phone
- (415) 785-3347
- NPI assigned
- Apr 6, 2007
- Last updated
- Jan 10, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | NT0000877 | WA | |
| Naturopath | 175F00000X | ND-87 | CA | Primary |
Addresses
Primary practice location
1368 Lincoln Ave Ste 106
San Rafael, CA 94901-2122
Mailing address
8104 178TH PL NE
Arlington, WA 98223-3731
Other practice location 1
4630 200th St SW Ste D
Lynnwood, WA 98036-6608
Phone (415) 785-3347
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND-87 | CA | MD | Naturopath |
| NT0000877 | WA | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641772800000",
"number": "1912029018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8104 178TH PL NE",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982233731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1368 LINCOLN AVE STE 106",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949012122",
"telephone_number": "415-785-3347"
}
],
"practiceLocations": [
{
"address_1": "4630 200th St SW Ste D",
"address_purpose": "LOCATION",
"city": "Lynnwood",
"state": "WA",
"postal_code": "980366608",
"country_code": "US",
"telephone_number": "415-785-3347",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "LISA",
"name_prefix": "Dr.",
"credential": "N.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2022-01-10",
"certification_date": "2022-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "WA",
"license": "NT0000877",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "ND-87",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.