Jennifer Sue Boyd Miller, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

18716 Issued in TX

Practice address

1849 Central Dr
Bedford, TX 76022-6017

Phone

(817) 399-2046

NPI assigned

Feb 22, 2007

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

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 and National Provider Directory roles.

• Hurst Euless Bedford Isd

  • Local Education Agency (LEA)
  • Bedford, TX
  • NPI 1366563629
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1043345895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 CENTRAL DR",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226017",
            "telephone_number": "817-399-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 CENTRAL DR",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226017",
            "telephone_number": "817-399-2046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3909 Pebblebrook Ln",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "TX",
            "postal_code": "760213116",
            "country_code": "US",
            "telephone_number": "817-798-9854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JENNIFER SUE",
        "middle_name": "BOYD",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "18716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0058745-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miller Dental Bedford PLLC
• Andrea E Miller, MD
• Andrew H Miller, MD
• Anne Miller, RN
• G. Dick Miller, PH.D.10/24/19
• John David Miller, MD
• John Roy Miller, PT
• Sheri L Miller, LPC, LMFT
• Susan Christine Millner, D.D.S.
• Jeffrey A Mills, D.O.

• Speech-Language Pathologist in Bedford, TX
• Providers in Bedford, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.