MACKENZIE ANDREW MILLER
NPI 1437094067
Student in an Organized Health Care Education/Training Program in Peoria, IL

Active since April 21, 2026
530 NE GLEN OAK AVE, PEORIA, IL 61637(304) 575-1473 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mackenzie Andrew Miller NPPES

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

MACKENZIE ANDREW MILLER (NPI 1437094067) is an individual student in an organized health care education/training program in Peoria, Illinois and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1437094067
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMACKENZIE ANDREW MILLER
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001
Mailing Address1310 Enslow BlvdHuntington, WV 25701-4018 · (304) 575-1473
Sole ProprietorNo
Enumeration DateApril 21, 2026
NPPES CertifiedApril 18, 2026
NPI 1437094067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
530 NE GLEN OAK AVE, Peoria, IL 61637

Other Providers at the Same Location NPPES 20

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

Psychiatry & Neurology (Neurology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mackenzie Miller's NPI number?

The NPI number for Mackenzie Miller is 1437094067. It was assigned to this individual provider in the NPPES registry on April 21, 2026.

Where is Mackenzie Miller located?

Mackenzie Miller practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (304) 575-1473.

What is Mackenzie Miller's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mackenzie Miller was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.