Shannon MJ Miller, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP9750 Issued in OH

Practice address

8050 Corporate Cir Ste 4
North Royalton, OH 44133-1281

Phone

(440) 884-3688

NPI assigned

Feb 5, 2010

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1366774028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7291 CONNOR AVE",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431108227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 CORPORATE CIR STE 4",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441331281",
            "telephone_number": "440-884-3688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "339 E Maple St",
            "address_purpose": "LOCATION",
            "city": "North Canton",
            "state": "OH",
            "postal_code": "44720",
            "country_code": "US",
            "telephone_number": "330-498-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SHANNON",
        "middle_name": "MJ",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND.2010076-SP",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP9750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366774028",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Louise Meyer, DC
• Michael E. Debs, MD .,Inc.
• Charlotte Michalski, DDS
• Chris Miklovic, BSN, RN
• Judy Mileti, LICENSED OPTICIAN
• Milanka Milojevic
• Zivorad Milojevic
• Jacqueline Marie Miranda
• Irene Mishreky
• Susan Annette Mitchell, LPCC-S

• Speech-Language Pathologist in North Royalton, OH
• Providers in North Royalton, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.