Individual provider Active NPI

Eliza Jean Milnes, M.S., CCC-SLP/L

  • Speech-Language Pathologist
  • Wilmington, DE
National Provider Identifier
1477107795
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
O1-0001675 Issued in DE
Practice address
3510 Silverside Rd Ste 2
Wilmington, DE 19810-4937
Phone
(717) 808-3613
NPI assigned
Jul 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL007689 PA
Speech-Language Pathologist 235Z00000X O1-0001675 DE Primary

Addresses

Primary practice location

3510 Silverside Rd Ste 2
Wilmington, DE 19810-4937

Mailing address

3322 S Rockfield Dr
Wilmington, DE 19810-3236
Phone (717) 808-3613

Other names 1

  • Eliza Jean Newcomer Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
O1-0001675DEMDSpeech-Language Pathologist
SL007689PAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1477107795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 S ROCKFIELD DR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198103236",
            "telephone_number": "717-808-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 SILVERSIDE RD STE 2",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104937",
            "telephone_number": "717-808-3613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILNES",
        "first_name": "ELIZA",
        "middle_name": "JEAN",
        "credential": "M.S., CCC-SLP/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL007689",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DE",
            "license": "O1-0001675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZA",
            "last_name": "NEWCOMER",
            "middle_name": "JEAN",
            "credential": "M.S., CCC-SLP/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.