Individual provider Active NPI

Erin Conner Miller

  • Speech-Language Pathologist
  • Lemont, IL
National Provider Identifier
1124782982
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
12450 Walker Rd
Lemont, IL 60439-9301
Phone
(630) 243-0400
NPI assigned
Oct 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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 IL Primary

Addresses

Primary practice location

12450 Walker Rd
Lemont, IL 60439-9301

Mailing address

25026 Gates LN
Plainfield, IL 60585-2222
Phone (317) 340-8712

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Lemont
Other URL Lemont

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

NPI Registry JSON

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1124782982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25026 GATES LN",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605852222",
            "telephone_number": "317-340-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12450 WALKER RD",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604399301",
            "telephone_number": "630-243-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ERIN",
        "middle_name": "CONNER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Lemont",
            "affiliation": "N",
            "address_1": "12450 Walker Rd",
            "city": "Lemont",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604399301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Lemont",
            "affiliation": "N",
            "address_1": "12450 Walker Rd",
            "city": "Lemont",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604399301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lemont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.