Kristine Ann Miller-Jacobs, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL00002991 Issued in WA

Practice address

710 NW Juniper St
Suite 108
Issaquah, WA 98027-2717

Phone

(425) 392-4965

NPI assigned

Mar 14, 2006

Reactivated

Jan 10, 2024

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

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.

• Susan L. Cohn & Associates

  • Speech-Language Pathologist
  • Issaquah, WA
  • NPI 1104136878
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1245208388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9610 117TH PL NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335189",
            "telephone_number": "425-576-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 NW JUNIPER ST",
            "address_2": "SUITE 108",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272717",
            "telephone_number": "425-392-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER-JACOBS",
        "first_name": "KRISTINE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2026-07-13",
        "certification_date": "2022-09-21",
        "deactivation_date": "2022-09-21",
        "reactivation_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00002991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kira Reese Michlitsch
• Carol Rwamba Michuki
• Emily Milhomme
• Miller Family Dermatology, PLLC
• Haley Corrine Miller-Boren, MC61233358
• Arlo J Miller, MD
• Gloria Ann Miller, CCC-SLP
• Joe Miller, RPH
• Marieka Lynne Miller, PSY.D.
• Pamela Dove Miller, PAMELA MILLER,LMP

• Speech-Language Pathologist in Issaquah, WA
• Providers in Issaquah, 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 Jul 13, 2026; 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.