Individual provider Active NPI

Alyssa Miller

  • Speech-Language Pathologist
  • North Chesterfield, VA
National Provider Identifier
1467004317
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202006993 Issued in VA
Practice address
206 Twinridge LN
North Chesterfield, VA 23235-5200
Phone
(804) 764-5216
NPI assigned
Jul 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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 2202006993 VA Primary

Addresses

Primary practice location

206 Twinridge LN
North Chesterfield, VA 23235-5200

Mailing address

206 Twinridge LN
North Chesterfield, VA 23235-5200

Other practice location 1

206 Twinridge Ln
North Chesterfield, VA 23235-5200
Phone (804) 764-5216

Other practice location 2

2805 W Broad St
Richmond, VA 23230-5112
Phone (804) 764-5216

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
2202006993VAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1467004317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 TWINRIDGE LN",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 TWINRIDGE LN",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355200",
            "telephone_number": "804-764-5216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 Twinridge Ln",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "232355200",
            "country_code": "US",
            "telephone_number": "804-764-5216",
            "fax_number": "804-560-7962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2805 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232305112",
            "country_code": "US",
            "telephone_number": "804-764-5216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202006993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.