Individual provider Active NPI

Miriam N Hsieh, SPEECH PATHOLOGIST

  • Speech-Language Pathologist
  • Upland, CA
National Provider Identifier
1508180233
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7714 Issued in CA
Practice address
600 N Mountain Ave Ste A201
Upland, CA 91786-4368
Phone
(909) 271-2176
Fax
(909) 271-2176
NPI assigned
Mar 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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 7714 CA Primary

Addresses

Primary practice location

600 N Mountain Ave Ste A201
Upland, CA 91786-4368

Mailing address

1955 Austin CT
Claremont, CA 91711-2822
Phone (951) 203-9111

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
7714CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Walker Furman Inc Speech-Language Pathologist PastSince Jun 7, 2020 Accepting new patients

Organizations & group practices 1

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": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1508180233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 AUSTIN CT",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917112822",
            "telephone_number": "951-203-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N MOUNTAIN AVE STE A201",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864368",
            "telephone_number": "909-271-2176",
            "fax_number": "909-271-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSIEH",
        "first_name": "MIRIAM",
        "middle_name": "N",
        "credential": "SPEECH PATHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-24",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "7714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; 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.