MRS. KELLY TERESA MILLER PMHNP-BC NPI 1215306956

NPI Information

NPI: 1215306956
Provider Name: MRS. KELLY TERESA MILLER, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
10420 PARK RD STE 300
CHARLOTTE, NC
ZIP 28210
Phone: (980) 237-4766
Get Directions

MRS. Kelly Teresa Miller, PMHNP-BC is a psychiatric/mental health nurse practitioner in Charlotte, NC. MRS. Kelly Teresa Miller, PMHNP-BC NPI is 1215306956. 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:

10420 PARK RD STE 300
CHARLOTTE, NC
ZIP 28210-502
Phone: (980) 237-4766

The NPI 1215306956 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 9/23/2015 and was last updated on 2/9/2022.

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	5008017	NORTH CAROLINA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	5008017	NORTH CAROLINA	Yes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »