Jenna Ford Miller, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

104127 Issued in TX

Practice address

6610 Interstate 35 N
Waco, TX 76705-1136

Phone

(254) 235-7604

Fax

(254) 235-7612

NPI assigned

Feb 2, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jenna Michelle Ford Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• A to Z Rehab at Home

  • Home Health Agency
  • Waco, TX
  • NPI 1578802344
  NPD (past)
• A to Z Rehab Services

  • Rehabilitation Clinic/Center
  • Waco, TX
  • NPI 1881957389
  NPD (past)

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1174895379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 INTERSTATE 35 N",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767051136",
            "telephone_number": "254-235-7604",
            "fax_number": "254-235-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6610 INTERSTATE 35 N",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767051136",
            "telephone_number": "254-235-7604",
            "fax_number": "254-235-7612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JENNA",
        "middle_name": "FORD",
        "credential": "MS CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "FORD",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sharon Denise Miles, LCSW
• Aubrey Miller
• Christine Rowe Miller, CNM
• Donna G Miller, DDS
• Jamie L Miller, FNP
• Jenny Miller
• Katherine Miller
• Lauren Beth Miller, MD
• Logan Brett Miller, DDS
• Patricia Ann Miller, LCSW

• Speech-Language Pathologist in Waco, TX
• Providers in Waco, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.