Active NPI
Samantha Miller
- Speech-Language Pathologist
- Timonium, MD
National Provider Identifier
1225877822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 11001
- Practice address
- 2300 Dulaney Valley Rd
Timonium, MD 21093-2700 - Phone
- (410) 252-4500
- NPI assigned
- May 22, 2024
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
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 | 11001 | MD | Primary |
Addresses
Primary practice location
2300 Dulaney Valley Rd
Timonium, MD 21093-2700
Mailing address
706 Camberley Cir Apt T3
Towson, MD 21204-3887
Phone (443) 303-9088
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11001 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1225877822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 CAMBERLEY CIR APT T3",
"city": "TOWSON",
"state": "MD",
"postal_code": "212043887",
"telephone_number": "443-303-9088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 DULANEY VALLEY RD",
"city": "TIMONIUM",
"state": "MD",
"postal_code": "210932700",
"telephone_number": "410-252-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SAMANTHA",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2024-05-22",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "11001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Timonium, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.