MRS. KELLY TERESA MILLER PMHNP-BC
NPI 1215306956
Nurse Practitioner - Psychiatric/Mental Health in Charlotte, NC

Q: What is Kelly Miller's NPI number?

The NPI number for Kelly Miller is 1215306956. It was assigned to this individual provider in the NPPES registry on September 23, 2015.

Q: What is Kelly Miller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Miller was last updated on February 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 23, 2015

10420 PARK RD STE 300, CHARLOTTE, NC 28210(980) 237-4766 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 9, 2022, Nov 2, 2021, Oct 8, 2021 and 3 more (6 updates tracked since 2015).

On this page

About Mrs. Kelly Teresa Miller Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KELLY TERESA MILLER PMHNP-BC (NPI 1215306956) is an individual psychiatric/mental health provider in Charlotte, North Carolina, licensed in North Carolina (5008017) and active in the NPI registry since September 2015. She maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1215306956

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. KELLY TERESA MILLERCredential: PMHNP-BC

Location Address10420 PARK RD STE 300Charlotte, NC 28210-8502

Mailing Address8200 Prescott Glen PkwyWaxhaw, NC 28173-6931 · (704) 641-4885

Phone(980) 237-4766

Sole ProprietorYes

Enumeration DateSeptember 23, 2015

Last NPPES UpdateFebruary 9, 20226 updates tracked since enumeration

NPPES CertifiedFebruary 9, 2022

✔ NPI 1215306956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NC · 5008017

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 5008017 (NC)

10420 PARK RD STE 300, Charlotte, NC 28210

Open in Google Maps ↗

Secondary Practice Location 1

Location 110440 Park Rd Ste 300Charlotte, NC 28210-8544 · Phone (980) 237-4766

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY NICOLE THOMSON

Physician Assistant