Daniel Adlai Miller IV, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL60478465 Issued in WA

Practice address

16770 NE 79TH St Ste 105
Redmond, WA 98052-4413

Phone

(425) 689-8570

Fax

(425) 689-7521

NPI assigned

Oct 13, 2014

Last updated

Jan 30, 2023By the provider in NPPES

Sex

Male

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

Locations

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.

• Peregrine Therapy, PLLC

  dba Peregrine Therapy

  • Hearing and Speech Clinic/Center
  • Redmond, WA
  • NPI 1003688540

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1215331764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16770 NE 79TH ST STE 105",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524413",
            "telephone_number": "765-476-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16770 NE 79TH ST STE 105",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524413",
            "telephone_number": "425-689-8570",
            "fax_number": "425-689-7521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13801 Old Redmond Rd Apt G113",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "WA",
            "postal_code": "980521816",
            "country_code": "US",
            "telephone_number": "765-476-3108",
            "fax_number": "425-689-7521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER IV",
        "first_name": "DANIEL",
        "middle_name": "ADLAI",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-13",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60478465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Edward Midtling, MD
• Douglas R. Migden, D.O.
• Jennifer Milano, LMP
• Donald L Milholland, CRNA
• Olena Milirud
• Corynn Miller
• Daniel Miller, M.A. ; MHP; LMHC
• Jeannette M Miller, ARNP
• Sydney Rose Miller
• Mind Body Wellness Network

• Speech-Language Pathologist in Redmond, WA
• Providers in Redmond, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.