Mallory Miracle

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12-043 Issued in KY

Practice address

6317 Highway 329
Crestwood, KY 40014-9040

Phone

(502) 384-0910

Fax

(502) 384-0908

NPI assigned

Jun 12, 2013

Last updated

Jun 12, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Julie Murray Inc/Chatter Box

  • Developmentally Disabled Services Day Training Agency
  • Crestwood, KY
  • NPI 1730372954
  NPD (past)
• The Chatter Box LLC

  • Speech-Language Pathologist
  • Crestwood, KY
  • NPI 1811197247
  NPD (past)

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1538507413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4529 BILES CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402413703",
            "telephone_number": "816-830-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6317 HIGHWAY 329",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400149040",
            "telephone_number": "502-384-0910",
            "fax_number": "502-384-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRACLE",
        "first_name": "MALLORY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "12-043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Hartke Michalowicz
• Briahna Michalsky, LCSW
• Alexandria W Middleton
• Courtney Lynn Miller, M.S. CCC-SLP
• Gina Miller
• Stephanie A Mitchell, MS
• Mobility Connection LLC (Mobility Plus Crestwood)
• Carrie Elizabeth Montgomery, MS CCC/SLP
• Denise Moore
• Jennifer Morgan

• Speech-Language Pathologist in Crestwood, KY
• Providers in Crestwood, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.