Individual provider Active NPI

Anna Katherine Johnson Miller

  • Speech-Language Pathologist
  • Monroe, NC
National Provider Identifier
1053968495
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30004870 Issued in NC
Practice address
402 Lane St
Monroe, NC 28112-5456
Phone
(704) 233-3434
NPI assigned
Aug 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 18263 OR
Speech-Language Pathologist 235Z00000X 2202009745 VA
Speech-Language Pathologist 235Z00000X 30004870 NC Primary

Addresses

Primary practice location

402 Lane St
Monroe, NC 28112-5456

Mailing address

402 Lane St
Monroe, NC 28112-5456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30004870NCMDSpeech-Language Pathologist
18263ORMDSpeech-Language Pathologist
2202009745VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Connect the Dots Pediatric Therapy, Inc CurrentSince Aug 25, 2024 Accepting new patients
Carolina Speech Connections, PLLC Speech-Language Pathologist PastSince Nov 1, 2017 Accepting new patients

Locations

84 Centennial Loop
Eugene, OR 97401
Phone (541) 255-2681

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": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1053968495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 LANE ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 LANE ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125456",
            "telephone_number": "704-233-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANNA KATHERINE",
        "middle_name": "JOHNSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "18263",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202009745",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30004870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.