Active NPI
Kristin Miller, AT
- Athletic Trainer
- Tucson, AZ
National Provider Identifier
1912423344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0246
- Practice address
- 1224 E Lowell St BLDG 95
Tucson, AZ 85721-0400 - Phone
- (520) 621-9013
- NPI assigned
- Aug 17, 2017
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0246 | AZ | Primary |
Addresses
Primary practice location
1224 E Lowell St BLDG 95
Tucson, AZ 85721-0400
Mailing address
2861 W Calle Gardenias
Tucson, AZ 85745-3549
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 |
|---|---|---|---|
| 0246 | AZ | MD | Hand Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502928000000",
"number": "1912423344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2861 W CALLE GARDENIAS",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857453549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 E LOWELL ST BLDG 95",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857210400",
"telephone_number": "520-621-9013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KRISTIN",
"credential": "AT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-17",
"last_updated": "2017-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AZ",
"license": "0246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.