Individual provider Active NPI

Lisa Miller, N.D.

  • Naturopath
  • San Rafael, CA
National Provider Identifier
1912029018
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
ND-87 Issued in CA
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
ND-87CAMDNaturopath
NT0000877WAMDNaturopath

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.

Verify at the official NPI Registry.