Active NPI
Miriam E Domroese Owens, SLP
- Speech-Language Pathologist
- Plainfield, IN
National Provider Identifier
1154530632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 22000071
- Practice address
- 1412 Miami CT S
Plainfield, IN 46168-2134 - Phone
- (317) 839-3564
- NPI assigned
- May 22, 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 | 22000071 | IN | Primary |
Addresses
Primary practice location
1412 Miami CT S
Plainfield, IN 46168-2134
Mailing address
1412 Miami CT S
Plainfield, IN 46168-2134
Phone (317) 839-3564
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22000071 | IN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315526400000",
"number": "1154530632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 MIAMI CT S",
"city": "PLAINFIELD",
"state": "IN",
"postal_code": "461682134",
"telephone_number": "317-839-3564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 MIAMI CT S",
"city": "PLAINFIELD",
"state": "IN",
"postal_code": "461682134",
"telephone_number": "317-839-3564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMROESE OWENS",
"first_name": "MIRIAM",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2011-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "22000071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plainfield, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.