Individual provider Active NPI

Tayna Nicole Miller, PMHNP-BC

  • Psychiatry Physician
  • Kihei, HI
National Provider Identifier
1962195834
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
APRN-4069-0 Issued in HI
Practice address
1325 S Kihei Rd Ste 205
Kihei, HI 96753-8145
Phone
(808) 633-7132
NPI assigned
May 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X APRN-4069-0 HI Primary
Psychiatry Physician 2084P0800X AP61518226 WA
Psychiatry Physician 2084P0800X 216097 AK

Addresses

Primary practice location

1325 S Kihei Rd Ste 205
Kihei, HI 96753-8145

Mailing address

7415 S Tongass Hwy
Ketchikan, AK 99901-9755
Phone (808) 633-7132

Other practice location 1

602 Dock St Ste 108
Ketchikan, AK 99901-6574
Phone (907) 204-8417

Other practice location 2

3917 E Beverly Rd
Mead, WA 99021-9543
Phone (808) 633-7132

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
216097AKMDPsychiatry Physician
APRN-4069-0HIMDPsychiatry Physician
AP61518226WAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banyan Wellness Center LLC Current 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.

NPI Registry JSON

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1962195834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7415 S TONGASS HWY",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999019755",
            "telephone_number": "808-633-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S KIHEI RD STE 205",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967538145",
            "telephone_number": "808-633-7132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 Dock St Ste 108",
            "address_purpose": "LOCATION",
            "city": "Ketchikan",
            "state": "AK",
            "postal_code": "999016574",
            "country_code": "US",
            "telephone_number": "907-204-8417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3917 E Beverly Rd",
            "address_purpose": "LOCATION",
            "city": "Mead",
            "state": "WA",
            "postal_code": "990219543",
            "country_code": "US",
            "telephone_number": "808-633-7132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TAYNA",
        "middle_name": "NICOLE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-29",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "APRN-4069-0",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "AP61518226",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AK",
            "license": "216097",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kihei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.