Serena Mueller, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14288238 Issued in UT

Practice address

730 Parkway Dr
Park City, UT 84098-5715

Phone

(858) 334-3796

NPI assigned

Jul 11, 2023

Last updated

Jul 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Silver Creek Speech & Language

  • Speech-Language Pathologist
  • Park City, UT
  • NPI 1386417277
  NPD Authorized official

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1164100806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 PARKWAY DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840985715",
            "telephone_number": "858-334-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 PARKWAY DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840985715",
            "telephone_number": "858-334-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "SERENA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "14288238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountain Valley Imaging of Utah (Park City Imaging)
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• Mountain West Anesthesia LLC
• Mountaintop Physical Therapy & Wellness Center, Inc. (MountainTop Physical Therapy)
• Larra Elena Murdock, CSI, LMT
• MW Medical Practice, P.C.
• My Hearing Centers, LLC
• Lindsey Myers, M.S., CCC-SLP
• Myeyes LLC

• Speech-Language Pathologist in Park City, UT
• Providers in Park City, UT by specialty
• Speech-Language Pathologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.