Individual provider Active NPI

Brittanie Nichole Miller, M.S., CF-SLP

  • Speech-Language Pathologist
  • Harrison, AR
National Provider Identifier
1114584828
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
200542 Issued in AR
Practice address
702 N Main St Ste C
Harrison, AR 72601-2920
Phone
(870) 204-5330
NPI assigned
May 29, 2019
Last updated
May 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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 200542 AR Primary

Addresses

Primary practice location

702 N Main St Ste C
Harrison, AR 72601-2920

Mailing address

240 Bumblebee St Unit 15
Branson, MO 65616-6710
Phone (417) 699-6491

Other identifiers 1

IdentifierTypeStateIssuer
200542OtherARARKANSAS SPEECH PROVISIONAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brittanie@thera-play.com

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
200542ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Thera-Play Pediatrics of Harrison, Ar LLC Speech-Language Pathologist PastSince Feb 16, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1114584828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 BUMBLEBEE ST UNIT 15",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656166710",
            "telephone_number": "417-699-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N MAIN ST STE C",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012920",
            "telephone_number": "870-204-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BRITTANIE",
        "middle_name": "NICHOLE",
        "credential": "M.S., CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "200542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS SPEECH PROVISIONAL LICENSE",
            "identifier": "200542",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brittanie@thera-play.com",
            "affiliation": "N",
            "address_1": "702 N Main St Ste C",
            "city": "Harrison",
            "state": "AR",
            "country_code": "US",
            "postal_code": "726012920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.