Active NPI
Tayna Nicole Miller, PMHNP-BC
- Psychiatry Physician
- Kihei, HI
National Provider Identifier
1962195834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- APRN-4069-0
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 216097 | AK | MD | Psychiatry Physician |
| APRN-4069-0 | HI | MD | Psychiatry Physician |
| AP61518226 | WA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Kihei, HI
- NPI 1346022878
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.