Individual provider Active NPI

Kayla Miller

  • Family Nurse Practitioner
  • Lewiston, ID
National Provider Identifier
1972280592
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
76807 Issued in ID
Practice address
415 6TH St Ste 3C
Lewiston, ID 83501-2431
Phone
(208) 750-7300
Fax
(208) 746-4899
NPI assigned
Jul 5, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Joseph Hospital LLC 91 clinicians

Practice addresses (Care Compare)

500 8TH Ave
Lewiston, ID 83501-2691
Phone (208) 792-2251

Hospital & facility affiliations

  • Elite Home Health Home health agency, Clarkston, WA, CCN 507111
  • Elite Home Health Home health agency, Lewiston, ID, CCN 137303
  • St Joseph Regional Medical Center Hospital, Lewiston, ID, CCN 130003
  • Tri-State Memorial Hospital Hospital, Clarkston, WA, CCN 501332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230728001734 ID Practitioner - Nurse Practitioner 9133580707 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Hospital LLC CurrentSince Sep 1, 2023 Accepting new patients
St. Joseph Hospital LLC PastSince Sep 1, 2023 Accepting new patients

Locations

307 Saint Johns Way
Ste 11
Lewiston, ID 83501
Phone (208) 743-7612

2315 8th St Grade
Lewiston, ID 83501
Phone (208) 746-1383

500 8th Ave
Rm 205
Lewiston, ID 83501
Phone (208) 792-2251

341 Saint Johns Way
Lewiston, ID 83501
Phone (208) 750-7462

625 6th Ave
Lewiston, ID 83501
Phone (208) 743-8226

821 21st Ave
Lewiston, ID 83501
Phone (208) 799-3422

415 6th St
Ste 3C
Lewiston, ID 83501
Phone (208) 746-1333

222 Southway Ave
Ste 2A
Lewiston, ID 83501
Phone (208) 750-3840

415 6th St
Lewiston, ID 83501
Phone (208) 750-7445

Interoperability endpoints

  • Direct secure messaging: kayla.miller.1@16883.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 76807 ID Primary

Addresses

NPPES NPI Registry

Primary practice location

415 6TH St Ste 3C
Lewiston, ID 83501-2431

Mailing address

415 6TH Street
Attn: Physician Services
Lewiston, ID 83501-2424
Phone (208) 750-7462

Other practice location 1

222 Southway Ave Ste 2A
Lewiston, ID 83501-2703
Phone (208) 798-4818

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
1972280592MedicaidID
2255568MedicaidWA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 26, 2024.

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1972280592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 6TH STREET",
            "address_2": "ATTN: PHYSICIAN SERVICES",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012424",
            "telephone_number": "208-750-7462",
            "fax_number": "208-750-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 6TH ST STE 3C",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012431",
            "telephone_number": "208-750-7300",
            "fax_number": "208-746-4899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Southway Ave Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ID",
            "postal_code": "835012703",
            "country_code": "US",
            "telephone_number": "208-798-4818",
            "fax_number": "208-798-8711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "76807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972280592",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2255568",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

Verify at the official NPI Registry.