Active NPI
Renee Floyd Miller, M.ED.
- Speech-Language Pathologist
- Raleigh, NC
National Provider Identifier
1306970892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4833
- Practice address
- 5860 Faringdon PL
Suite 1
Raleigh, NC 27609-3931 - Phone
- (919) 790-3838
- Fax
- (919) 873-0959
- NPI assigned
- Mar 15, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 4833 | NC | Primary |
Addresses
Primary practice location
5860 Faringdon PL
Suite 1
Raleigh, NC 27609-3931
Mailing address
1113 Matthews Glen Dr
Knightdale, NC 27545-8847
Phone (919) 796-4701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7411552 | Medicaid | NC |
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4833 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1306970892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1113 MATTHEWS GLEN DR",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275458847",
"telephone_number": "919-796-4701",
"fax_number": "919-873-0959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5860 FARINGDON PL",
"address_2": "SUITE 1",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276093931",
"telephone_number": "919-790-3838",
"fax_number": "919-873-0959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "RENEE",
"middle_name": "FLOYD",
"name_prefix": "Mrs.",
"credential": "M.ED.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "4833",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7411552",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.