Active NPI
Christine Eileen Miller
- Speech-Language Pathologist
- San Antonio, TX
National Provider Identifier
1265836290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 116966
- Practice address
- 5900 Evers Rd
San Antonio, TX 78238-1606 - Phone
- (972) 333-4780
- Fax
- (817) 215-5022
- NPI assigned
- Oct 20, 2014
- Sex
- Female
- 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 | 116966 | TX | Primary |
Addresses
Primary practice location
5900 Evers Rd
San Antonio, TX 78238-1606
Mailing address
648 Privilege Estates LN
Pipe Creek, TX 78063-4704
Phone (972) 333-4780
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 |
|---|---|---|---|
| 116966 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1265836290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "648 PRIVILEGE ESTATES LN",
"city": "PIPE CREEK",
"state": "TX",
"postal_code": "780634704",
"telephone_number": "972-333-4780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 EVERS RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782381606",
"telephone_number": "972-333-4780",
"fax_number": "817-215-5022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "CHRISTINE",
"middle_name": "EILEEN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-20",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "116966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.