Individual provider Active NPI

Andria Lynne Miller, M.S. SLP

  • Speech-Language Pathologist
  • Lancaster, PA
National Provider Identifier
1114048501
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL0063332L Issued in PA
Practice address
600 Eden Rd Building I
S June Smith Center
Lancaster, PA 17601
Phone
(717) 299-4829
Fax
(717) 295-3453
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SL0063332L PA Primary

Addresses

Primary practice location

600 Eden Rd Building I
S June Smith Center
Lancaster, PA 17601

Mailing address

2103 Clover Hill Rd
Lancaster, PA 17603-6105
Phone (717) 871-9126

Other identifiers 1

IdentifierTypeStateIssuer
0018896500002OtherPA17

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SL0063332LPAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The S. June Smith Center Speech-Language Pathologist Past Accepting new patients
S. June Smith Center Past Accepting new patients

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114048501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 CLOVER HILL RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176036105",
            "telephone_number": "717-871-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 EDEN RD BUILDING I",
            "address_2": "S JUNE SMITH CENTER",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17601",
            "telephone_number": "717-299-4829",
            "fax_number": "717-295-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANDRIA",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "M.S. SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL0063332L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "17",
            "identifier": "0018896500002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.