Audrey Faye Miller, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

117236 Issued in TX

Practice address

1201 S Interstate 35 Ste 105
Round Rock, TX 78664-6646

Phone

(512) 310-7665

Fax

(512) 310-9228

NPI assigned

Sep 22, 2021

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

Other names 1

• Audrey Faye Reyhons Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Reavis Rehab & Wellness Center, Inc.

  • Rehabilitation Clinic/Center
  • Round Rock, TX
  • NPI 1265448054
  NPD (past)

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1285305987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S INTERSTATE 35 STE 105",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786646646",
            "telephone_number": "512-310-7665",
            "fax_number": "512-310-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S INTERSTATE 35 STE 105",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786646646",
            "telephone_number": "512-310-7665",
            "fax_number": "512-310-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "AUDREY",
        "middle_name": "FAYE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "117236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "REYHONS",
            "middle_name": "FAYE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Milk Maven LLC
• Jose Gabriel C Millar, M.D.
• Tina Marie Miller-Warring, PT
• Alicia Lynn Miller, M.D.
• Angela Danielle Miller, FNP-C
• Blair Ashley Miller, DC
• Hailey Miller
• Jeffrey S Miller, M.D.
• Jessica Miller
• Jessica McCreary Miller, LPC

• Speech-Language Pathologist in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.