Active NPI
Kayla Miller
- Family Nurse Practitioner
- Lewiston, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 76807
- 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.
-
- General Acute Care Hospital
- Lewiston, ID
- NPI 1225090954
-
- Internal Medicine Physician
- Lewiston, ID
- NPI 1043744287
-
- Durable Medical Equipment & Medical Supplies
- Lewiston, ID
- NPI 1982553855
-
- Psychiatric Hospital Unit
- Lewiston, ID
- NPI 1205975851
-
- Rehabilitation Hospital Unit
- Lewiston, ID
- NPI 1629783295
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lewiston, ID
- NPI 1134899719
-
- Home Health Agency
- Clarkston, WA
- NPI 1255672895
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
Practice addresses (Care Compare)
500 8TH Ave
Lewiston, ID 83501-2691
Phone (208) 792-2251
Hospital & facility affiliations
- Elite Home Health
- Elite Home Health
- St Joseph Regional Medical Center
- Tri-State Memorial Hospital
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Joseph Hospital LLC | Current | Accepting new patients | |
| St. Joseph Hospital LLC | Past | 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
- kayla.miller.1@16883.direct.athenahealth.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 76807 | ID | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972280592 | Medicaid | ID | |
| 2255568 | Medicaid | WA |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.