Jessica Joan Miller, MACCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22004579A Issued in IN

Practice address

705 N Meridian St
Greentown, IN 46936-1246

Phone

(765) 628-3377

NPI assigned

Dec 16, 2018

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)

Enrolled

Practice roles

Locations

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.

• Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path

  • Physical Therapist
  • Peru, IN
  • NPI 1750764494

  Speech-Language Pathologist

  NPD
• Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
  • NPI 1215637699
  NPD

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1306317409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 N MERIDIAN ST",
            "city": "GREENTOWN",
            "state": "IN",
            "postal_code": "469361246",
            "telephone_number": "765-628-2987",
            "fax_number": "765-628-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 N MERIDIAN ST",
            "city": "GREENTOWN",
            "state": "IN",
            "postal_code": "469361246",
            "telephone_number": "765-628-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JESSICA",
        "middle_name": "JOAN",
        "name_prefix": "Mrs.",
        "credential": "MACCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22004579A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Maher, SLP
• Whitney McCammon
• Brian Christopher McLellan, D.D.S.
• Sarah McNutt, SLP
• Memory Care Consulting in
• Kathleen Julia Montoya, B.S. SLHS
• Kimberly Hall Mossburg, RD, ATC
• Erynn Mula
• Nikki Poole, PTA
• Putnam County Hospital

• Speech-Language Pathologist in Greentown, IN
• Providers in Greentown, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.