Active NPI
Christine Miner, M.S. CCC/SLP LSLS
- Speech-Language Pathologist
- Leesburg, VA
National Provider Identifier
1487107561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202003474
- Practice address
- 480 Kornblau Ter SE
Leesburg, VA 20175-3750 - Phone
- (703) 906-5543
- NPI assigned
- Jul 26, 2016
- Last updated
- Jan 31, 2019
- 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 | 2202003474 | VA | Primary |
Addresses
Primary practice location
480 Kornblau Ter SE
Leesburg, VA 20175-3750
Mailing address
480 Kornblau Ter SE
Leesburg, VA 20175-3750
Phone (703) 906-5543
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487107561 | Medicaid | VA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2202003474 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548892800000",
"number": "1487107561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 KORNBLAU TER SE",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201753750",
"telephone_number": "703-906-5543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 KORNBLAU TER SE",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201753750",
"telephone_number": "703-906-5543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINER",
"first_name": "CHRISTINE",
"name_prefix": "Mrs.",
"credential": "M.S. CCC/SLP LSLS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-26",
"last_updated": "2019-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202003474",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1487107561",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Leesburg, VA
- Natalie Buller Miller, M.A./CCC-SLP
- Pamela B Miller, MOTR/L
- Suzanne Olivia Miller, LCSW CSAC
- Cathleen Shantz Mills, MD
- Minds Nurturing Services LLC
- Minuteclinic Diagnostic of Virginia LLC
- Minuteclinic Diagnostic of Virginia LLC
- Minuteclinic Primary Care - Virginia PLLC
- Adam Mitchell, PH.D., M.S., B.S.N.
- Diane E Mitchell, NP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.