Active NPI
Andria Lynne Miller, M.S. SLP
- Speech-Language Pathologist
- Lancaster, PA
National Provider Identifier
1114048501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL0063332L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018896500002 | Other | PA | 17 |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SL0063332L | PA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Social Worker
- Lancaster, PA
- NPI 1164550364
-
- Speech-Language Pathologist
- Lancaster, PA
- NPI 1356478937
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.