Active NPI
Alyssa Atchinson Miller, SLP
- Speech-Language Pathologist
- Au Sable Forks, NY
National Provider Identifier
1538588173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 014200-1
- Practice address
- 28 Church LN
Au Sable Forks, NY 12912-4402 - Phone
- (518) 647-5503
- NPI assigned
- Apr 10, 2014
- 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 | 014200-1 | NY | Primary |
Addresses
Primary practice location
28 Church LN
Au Sable Forks, NY 12912-4402
Mailing address
28 Church LN
Au Sable Forks, NY 12912-4402
Phone (518) 647-5503
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
| License | State | Type | Specialty |
|---|---|---|---|
| 014200-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397088000000",
"number": "1538588173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 CHURCH LN",
"city": "AU SABLE FORKS",
"state": "NY",
"postal_code": "129124402",
"telephone_number": "518-647-5503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 CHURCH LN",
"city": "AU SABLE FORKS",
"state": "NY",
"postal_code": "129124402",
"telephone_number": "518-647-5503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ALYSSA",
"middle_name": "ATCHINSON",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-10",
"last_updated": "2014-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "014200-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Au Sable Forks, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.