Individual provider Active NPI

Lenore Daniels Miller, SCD CCCSLP

  • Speech-Language Pathologist
  • Newton, MA
National Provider Identifier
1336299569
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
321 Issued in MA
Practice address
46 Central Avenue
Newton, MA 02460-1709
Phone
(617) 630-9668
Fax
(617) 630-9669
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 321 MA Primary

Addresses

Primary practice location

46 Central Avenue
Newton, MA 02460-1709

Mailing address

46 Central Avenue
Newton, MA 02460-1709
Phone (617) 630-9668

Other names 1

  • Dr. Lenore W Daniels Miller Professional name

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

LicenseStateTypeSpecialty
321MAMDAudiologist-Hearing Aid Fitter

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336299569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 CENTRAL AVENUE",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024601709",
            "telephone_number": "617-630-9668",
            "fax_number": "617-630-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 CENTRAL AVENUE",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024601709",
            "telephone_number": "617-630-9668",
            "fax_number": "617-630-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LENORE",
        "middle_name": "DANIELS",
        "name_prefix": "Dr.",
        "credential": "SCD CCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LENORE",
            "last_name": "DANIELS MILLER",
            "middle_name": "W",
            "prefix": "DR.",
            "credential": "SCD CCCSLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.