Kristopher James Miller, MSPA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

944 Issued in AK

Practice address

3225 Hospital Dr Unit 101a
Juneau, AK 99801-7863

Phone

(907) 523-5411

Fax

(907) 523-9884

NPI assigned

Feb 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Alpine Dermatology, LLC

  • Medical Physician Assistant
  • Juneau, AK
  • NPI 1053619098
  NPD
• Bartlett Regional Hospital

  • Surgery Physician
  • Juneau, AK
  • NPI 1508044835
  NPD (past)

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1912972175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 HOSPITAL DR UNIT 101A",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017863",
            "telephone_number": "907-523-5411",
            "fax_number": "907-523-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 HOSPITAL DR UNIT 101A",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017863",
            "telephone_number": "907-523-5411",
            "fax_number": "907-523-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KRISTOPHER",
        "middle_name": "JAMES",
        "credential": "MSPA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA00769",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AK",
            "license": "944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midnight Sun Counseling and Consulting, LLC
• Tressa Millam
• Benjamin Adam Miller, DO
• David Allen Miller, M.D.
• Jordan Miller
• Brian Albert Mills
• Carissa Mills
• Marianne Mills
• Mind and Motion LLC
• Barbara Mitchell

• Medical Physician Assistant in Juneau, AK
• Providers in Juneau, AK by specialty
• Medical Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.