Lori Katherine Miller, MS, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP.0000482 Issued in CO

Practice address

900 S 12TH St
Rocky Ford, CO 81067-2128

Phone

(719) 254-3314

Fax

(719) 254-7007

NPI assigned

Apr 10, 2018

Last updated

Apr 10, 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Melanie Massey Infant & Toddler LLC

  • Speech-Language Pathologist
  • West Monroe, LA
  • NPI 1447453865
  NPD (past)

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1447757075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S 12TH ST",
            "city": "ROCKY FORD",
            "state": "CO",
            "postal_code": "810672198",
            "telephone_number": "719-254-3314",
            "fax_number": "719-254-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S 12TH ST",
            "city": "ROCKY FORD",
            "state": "CO",
            "postal_code": "810672128",
            "telephone_number": "719-254-3314",
            "fax_number": "719-254-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LORI",
        "middle_name": "KATHERINE",
        "credential": "MS, CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0000482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346697471",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lotusom, LLC
• Calee Ann McClure, D.C.
• Julie Allison McClure, MED OTR
• Criston A Menz, LCSW
• Douglas Dean Miller, MSN, FNP
• Jason Wade Morgenson, MD
• Abby Sue Mosher, LPC
• Hannah N Muth, LMT
• Christiane Nitcheu, DMD
• Lucas Craig Ortega, D.C.

• Speech-Language Pathologist in Rocky Ford, CO
• Providers in Rocky Ford, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.