Active NPI
Miller Speech/Language Pathology, Inc.
- Speech-Language Pathologist
- Bainbridge Island, WA
National Provider Identifier
1265818611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL00002679
- Legal business name
- MILLER SPEECH/LANGUAGE PATHOLOGY, INC.
- Practice address
- 11837 Venice Loop NE
Bainbridge Island, WA 98110-4405 - Phone
- (206) 979-4034
- NPI assigned
- Aug 8, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Robin E Macdonald Miller, MA, CCC/SLP
- Title
- Owner/President
- Phone
- (206) 979-4034
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | LL00002679 | WA | Primary |
Addresses
Primary practice location
11837 Venice Loop NE
Bainbridge Island, WA 98110-4405
Mailing address
11837 Venice Loop NE
Bainbridge Island, WA 98110-4405
Phone (206) 979-4034
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438992000000",
"number": "1265818611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11837 VENICE LOOP NE",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981104405",
"telephone_number": "206-979-4034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11837 VENICE LOOP NE",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981104405",
"telephone_number": "206-979-4034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLER SPEECH/LANGUAGE PATHOLOGY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-08",
"last_updated": "2015-08-08",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "ROBIN",
"authorized_official_middle_name": "E MACDONALD",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "206-979-4034",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MA, CCC/SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL00002679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bainbridge Island, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.