Active NPI
Miriam Thaxton
- Speech-Language Pathologist
- St Petersburg, FL
National Provider Identifier
1457285041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 9268
- Practice address
- 4341 34TH St S Apt 552
Saint Petersburg, FL 33711-4575 - Phone
- (931) 808-9566
- NPI assigned
- Jun 10, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | 9268 | TN | Primary |
Addresses
Primary practice location
4341 34TH St S Apt 552
Saint Petersburg, FL 33711-4575
Mailing address
4341 34TH St S Apt 552
Saint Petersburg, FL 33711-4575
Phone (931) 808-9566
Other names 1
- Millie Thaxton
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1457285041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4341 34TH ST S APT 552",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337114575",
"telephone_number": "931-808-9566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4341 34TH ST S APT 552",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337114575",
"telephone_number": "931-808-9566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAXTON",
"first_name": "MIRIAM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-10",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "9268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MILLIE",
"last_name": "THAXTON",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in St Petersburg, FL
- Dalena Thai, MD
- Jane Kim Thai, PHARMD
- Amanda Thalji-Raitano, PH.D.
- Darci Ann Tharp, PT
- Keith Andrew Thatch, MD
- Kelsea Benedict Thayne, LCSW
- The Allegro at College Harbor L.L.C.
- The Aphasia Center
- The Body Shop Chiropractic and Wellness PLLC (The Body Shop Chiropractic and Wellness)
- The Center for Mental and Sexual Health LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.