Jeffery Tyler Millspaugh, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4020 Issued in KS

Practice address

1220 WW II Memorial Dr
Winfield, KS 67156

Phone

(620) 221-9479

NPI assigned

Feb 11, 2020

Sex

Male

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

Enrolled in KS

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Living Words Speech Therapy Center

  • Speech-Language Pathologist
  • Wichita, KS
  • NPI 1306697818
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1669004230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 N COVINGTON ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672126526",
            "telephone_number": "316-215-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 WW II MEMORIAL DR",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "67156",
            "telephone_number": "620-221-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLSPAUGH",
        "first_name": "JEFFERY",
        "middle_name": "TYLER",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "4020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mettling Chiropractic LLC (Joshua Mettling Single Mbr)
• Joshua Shane Mettling, DC
• Christopher Stephen Meyer, LPC
• Klas Daniel Miller, DO
• Bradley Jay Mills, L.S.C.S.W.
• Michelle Anne Mitchell, MD
• Linda Mizak, LMFT
• Douglas William Moore, D.O.
• Jaryd W Moore, DC
• Julie Ann Moreland, M.S., LMLP

• Speech-Language Pathologist in Winfield, KS
• Providers in Winfield, KS by specialty
• Speech-Language Pathologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.