Jenna Miller

Key facts

NPI

1285069971

Entity type

Individual (NPI type 1)

Primary specialty

Speech-Language Pathologist 235Z00000X

License

7101001144 (MI)

Practice address

9480 E M 21
Ovid, MI 48866-9569

Phone

(989) 834-0000

NPI assigned

Sep 12, 2013

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 12, 2013.

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1285069971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9480 E M 21",
            "city": "OVID",
            "state": "MI",
            "postal_code": "488669569",
            "telephone_number": "989-834-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JENNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101001144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ovid, MI

• Dennis Charles Hoffman, DDS
• Troy Hollenback
• David A Huff, DO
• Dennis Irland, OTR
• Ian Duncan McKenzie, RDN
• Melanie Muszynski
• Lindsay Leigh O'Toole, OTR/L
• Ovid Healthcare LLC
• Ovid Middlebury Emergency Service Authority
• Timothy Francis Rourke, DPT

All providers in Ovid, MI · Speech-Language Pathologist in Michigan