Alyssa Nicole Miles, MA SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2018030275 Issued in MO

Practice address

650 Office Pkwy
Creve Coeur, MO 63141-7103

Phone

(314) 838-1465

NPI assigned

Oct 31, 2019

Last updated

Oct 31, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• ABA Consulting Services, LLC

  • Specialist
  • Ballwin, MO
  • NPI 1952508277
  NPD (past)

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1023652286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 SWALLOW DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631441619",
            "telephone_number": "618-420-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 OFFICE PKWY",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417103",
            "telephone_number": "314-838-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "ALYSSA",
        "middle_name": "NICOLE",
        "credential": "MA SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2018030275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH LANGUAGE PATHOLOGIST",
            "identifier": "2018030275",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midwest Consulting and Ime
• Midwest Hemorrhoid Treatment Center Town & Country LLC
• Midwest Institute for Addiction, Inc
• Midwest Toxicology Group, LLC
• Stephen James Mikola, D.D.S.
• Millenium Corporation (Millennium Pharmacy)
• Kimberly Miller, FNP
• Graeme Mindel, M.D.
• Lauren Minden
• Mindful Change STL LLC

• Speech-Language Pathologist in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.