Individual provider Active NPI

Jameyan Miller

  • Speech-Language Pathologist
  • Las Vegas, NV
National Provider Identifier
1003254459
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-1567 Issued in NV
Practice address
7312 W Cheyenne Ave
Suite 4
Las Vegas, NV 89129-7428
Phone
(702) 203-7504
NPI assigned
Jun 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP-1567 NV Primary

Addresses

Primary practice location

7312 W Cheyenne Ave
Suite 4
Las Vegas, NV 89129-7428

Mailing address

7075 W Gowan Rd
Apt 1023
Las Vegas, NV 89129-7432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200824000557 NV Practitioner - Qualified Speech Language Pathologist 8022435726 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP-1567NVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speakeasy Therapy Services, LLC Speech-Language Pathologist CurrentSince Aug 18, 2024 Accepting new patients

Locations

2490 Paseo Verde Pkwy
Ste 155
Henderson, NV 89074
Phone (702) 703-5540

6345 S Jones Blvd
Ste 300
Las Vegas, NV 89118
Phone (702) 515-7009

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1003254459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7075 W GOWAN RD",
            "address_2": "APT 1023",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7312 W CHEYENNE AVE",
            "address_2": "SUITE 4",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297428",
            "telephone_number": "702-203-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JAMEYAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-07",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-1567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.