Kathryn Mary Miller, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

008630-1 Issued in NY

Practice address

100 Groton Pkwy
Rochester, NY 14623-4540

Phone

(585) 359-3710

Fax

(585) 359-3722

NPI assigned

Aug 19, 2008

Sex

Female

Sole proprietor

Yes

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 Science

State licenses

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219104000000",
    "number": "1043467210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WINTERGREEN WAY",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146184850",
            "telephone_number": "585-244-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GROTON PKWY",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146234540",
            "telephone_number": "585-359-3710",
            "fax_number": "585-359-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KATHRYN",
        "middle_name": "MARY",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "008630-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00357240",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathon Lincoln Miller, MD
• Josiah Miller, MD
• Karen Miller, CGC
• Kathlyn C Miller
• Kathryn Miller
• Katie L Miller, NP
• Kenneth M Miller, RPH
• Kimberly Cole Miller, M.A., CCC-SLP
• Kimberly Cybil Miller, M.A., CCC-SLP
• Kristin Miller

• Speech-Language Pathologist in Rochester, NY
• Providers in Rochester, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.