Individual provider Active NPI

Miranda Weekley, M.S., CF-SLP

  • Speech-Language Pathologist
  • Huntington, WV
National Provider Identifier
1346076643
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
PSLP-1082 Issued in WV
Practice address
Smith Hall 143 1 John Marshall Dr
Huntington, WV 25755-0001
Phone
(304) 696-3641
NPI assigned
Sep 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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 PSLP-1082 WV Primary

Addresses

Primary practice location

Smith Hall 143 1 John Marshall Dr
Huntington, WV 25755-0001

Mailing address

105 Rotary Rd
Huntington, WV 25705-1041
Phone (304) 299-3076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260128004121 WV Practitioner - Qualified Speech Language Pathologist 4880172196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 John Marshall Dr
Huntington, WV 25755-0002

1 John Marshall Dr
Huntington, WV 25755-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PSLP-1082WVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall University Speech-Language Pathologist CurrentSince Nov 1, 2025 Accepting new patients
University Physicians & Surgeons, Inc Past Accepting new patients

Locations

1 John Marshall Dr
Huntington, WV 25755
Phone (304) 696-3170

1 John Marshall Dr
#143
Huntington, WV 25755
Phone (304) 696-3641

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1346076643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ROTARY RD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257051041",
            "telephone_number": "304-299-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SMITH HALL 143 1 JOHN MARSHALL DR",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257550001",
            "telephone_number": "304-696-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEKLEY",
        "first_name": "MIRANDA",
        "credential": "M.S., CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "PSLP-1082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.