Individual provider Active NPI

Kelly Miklosh, SLP

  • Speech-Language Pathologist
  • Louisville, KY
National Provider Identifier
1467812123
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLPINP00225033 Issued in KY
Practice address
4501 Louise Underwood Way
Louisville, KY 40216-3987
Phone
(502) 368-2348
Fax
(502) 371-9067
NPI assigned
Feb 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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 SLPINP00225033 KY Primary

Addresses

Primary practice location

4501 Louise Underwood Way
Louisville, KY 40216-3987

Mailing address

4501 Louise Underwood Way
Louisville, KY 40216-3987
Phone (502) 368-2348

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SLPINP00225033KYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1467812123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 LOUISE UNDERWOOD WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402163987",
            "telephone_number": "502-368-2348",
            "fax_number": "502-371-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 LOUISE UNDERWOOD WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402163987",
            "telephone_number": "502-368-2348",
            "fax_number": "502-371-9067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKLOSH",
        "first_name": "KELLY",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "SLPINP00225033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.