Individual provider Active NPI

Miranda Mize Hunt, MS, CCC-SLP

  • Speech-Language Pathologist
  • Bowling Green, KY
National Provider Identifier
1043477698
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
142428 Issued in KY
Practice address
5079 Scottsville Rd
Bowling Green, KY 42104-7897
Phone
(270) 781-2462
NPI assigned
May 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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 142428 KY Primary

Addresses

Primary practice location

5079 Scottsville Rd
Bowling Green, KY 42104-7897

Mailing address

411 Fonso Cir
Bowling Green, KY 42104-5582
Phone (606) 219-0231

Other practice location 1

1260 Kenilwood Way
Apt 47
Bowling Green, KY 42104-4871
Phone (606) 219-0231

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210223000497 KY Practitioner - Qualified Speech Language Pathologist 2466867502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation Kentucky, LLCGroup PAC ID 1850729211, 108 clinicians

Practice addresses (Care Compare)

1165 Monarch St
Lexington, KY 40513-1979
Phone (844) 502-7996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
142428KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Kentucky, LLC Speech-Language Pathologist CurrentSince Feb 19, 2021 Accepting new patients
Empowerme Rehabilitation Kentucky, LLC CurrentSince Feb 19, 2021 Accepting new patients
Empowerme Rehabilitation Kentucky, LLC Speech-Language Pathologist Past Accepting new patients
Empowerme Rehabilitation Kentucky, LLC Past Accepting new patients

Locations

101 Isaac Greer Ct
Bardstown, KY 40004
Phone (502) 348-6214

100 Garden Way
Campbellsville, KY 42718
Phone (270) 789-1200

100 Windsor Path
Georgetown, KY 40324
Phone (502) 570-0540

3310 Tates Creek Rd
Lexington, KY 40502
Phone (859) 203-7899

2141 Executive Dr
Lexington, KY 40505
Phone (859) 252-1939

9701 Whipps Mill Rd
Louisville, KY 40223
Phone (502) 426-2778

8401 La Grange Rd
Lyndon, KY 40222
Phone (502) 234-5977

84 Utterback Rd
Murray, KY 42071
Phone (270) 759-8700

1415 W 1st St
Owensboro, KY 42301
Phone (270) 926-2345

1900 Pleasant Valley Rd
Owensboro, KY 42303

1001 Crossfield Dr
Versailles, KY 40383
Phone (859) 753-2000

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 4

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": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1043477698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 FONSO CIR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045582",
            "telephone_number": "606-219-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5079 SCOTTSVILLE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421047897",
            "telephone_number": "270-781-2462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1260 Kenilwood Way",
            "address_2": "Apt 47",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421044871",
            "country_code": "US",
            "telephone_number": "606-219-0231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNT",
        "first_name": "MIRANDA",
        "middle_name": "MIZE",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "142428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.