SANDRA L MILLER CNP NPI 1952344699

NPI Information

NPI: 1952344699
Provider Name: SANDRA L MILLER, CNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
636 SAINT ANNE ST
RAPID CITY, SD
ZIP 57701
Phone: (605) 348-8000
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Sandra L Miller, CNP is a psychiatric/mental health nurse practitioner in Rapid City, SD. Sandra L Miller, CNP NPI is 1952344699. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

636 SAINT ANNE ST
RAPID CITY, SD
ZIP 57701-694
Phone: (605) 348-8000
Fax: (605) 348-4315

The NPI 1952344699 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/13/2006 and was last updated on 12/5/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	R0148350250	SOUTH DAKOTA	No
2	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	R0148350250	SOUTH DAKOTA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	CP000250	SOUTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6826173	MEDICAID	SOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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