Miranda Elise Kiffmeyer, SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

2024036960 Issued in MO

Practice address

3716 Morganford Rd
Saint Louis, MO 63116-1615

Phone

(618) 698-4680

NPI assigned

Sep 11, 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

State licenses

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1255167680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 STOREYLAND DR",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 MORGANFORD RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631161615",
            "telephone_number": "618-698-4680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 S Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631181005",
            "country_code": "US",
            "telephone_number": "618-698-4680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2617 Shenandoah Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631042311",
            "country_code": "US",
            "telephone_number": "618-698-4680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIFFMEYER",
        "first_name": "MIRANDA",
        "middle_name": "ELISE",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "MO",
            "license": "2024036960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Assistant in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Speech-Language Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.