Individual provider Active NPI

Theresa Manley Miskell

  • Speech-Language Pathologist
  • Geneseo, NY
National Provider Identifier
1467720169
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
008405-1 Issued in NY
Practice address
4050 Avon Rd
Geneseo, NY 14454-9721
Phone
(585) 243-3450
NPI assigned
Dec 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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 008405-1 NY Primary

Addresses

Primary practice location

4050 Avon Rd
Geneseo, NY 14454-9721

Mailing address

23 2ND St
Geneseo, NY 14454-1207
Phone (585) 243-2546

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
008405-1NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston County Past Accepting new patients
New York Department Education Geneseo Central School District Past Accepting new patients

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": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1467720169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 2ND ST",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144541207",
            "telephone_number": "585-243-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 AVON RD",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144549721",
            "telephone_number": "585-243-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISKELL",
        "first_name": "THERESA",
        "middle_name": "MANLEY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "008405-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneseo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.