Active NPI
Miranda Roland
- Speech-Language Pathologist
- Huntersville, NC
National Provider Identifier
1245926203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 30005003
- Practice address
- 9930 Kincey Ave Ste 140
Huntersville, NC 28078-6541 - Phone
- (980) 380-9775
- Fax
- (317) 520-8200
- NPI assigned
- Apr 13, 2023
- Last updated
- Jun 9, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4982 | KS | |
| Speech-Language Pathologist | 235Z00000X | SA20469 | FL | |
| Speech-Language Pathologist | 235Z00000X | 30005003 | NC | Primary |
Addresses
Primary practice location
9930 Kincey Ave Ste 140
Huntersville, NC 28078-6541
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other practice location 1
3223 N Oliver St
Wichita, KS 67220-2106
Phone (316) 558-3436
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 |
|---|---|---|---|
| SA20469 | FL | MD | Speech-Language Pathologist |
| 4982 | KS | MD | Speech-Language Pathologist |
| 30005003 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1245926203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DEPAUW BLVD STE 3070",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686135",
"telephone_number": "855-324-0885",
"fax_number": "317-520-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9930 KINCEY AVE STE 140",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280786541",
"telephone_number": "980-380-9775",
"fax_number": "317-520-8200"
}
],
"practiceLocations": [
{
"address_1": "3223 N Oliver St",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672202106",
"country_code": "US",
"telephone_number": "316-558-3436",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROLAND",
"first_name": "MIRANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-13",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KS",
"license": "4982",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA20469",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "30005003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.