Active NPI
Amy Miller, SLP
- Speech-Language Pathologist
- Mora, MN
National Provider Identifier
1669771051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8703
- Practice address
- 301 Highway 65 S
Mora, MN 55051-1899 - Phone
- (612) 860-6384
- Fax
- (952) 927-7687
- NPI assigned
- Mar 24, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 8703 | MN | Primary |
Addresses
Primary practice location
301 Highway 65 S
Mora, MN 55051-1899
Mailing address
301 Highway 65 S
Mora, MN 55051-1899
Phone (612) 860-6384
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 |
|---|---|---|---|
| 8703 | MN | MD | Speech-Language Pathologist |
Interoperability endpoints
- amiller105937@excellian.direct.allina.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680566400000",
"number": "1669771051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 HIGHWAY 65 S",
"city": "MORA",
"state": "MN",
"postal_code": "550511899",
"telephone_number": "612-860-6384",
"fax_number": "952-927-7687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 HIGHWAY 65 S",
"city": "MORA",
"state": "MN",
"postal_code": "550511899",
"telephone_number": "612-860-6384",
"fax_number": "952-927-7687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "AMY",
"name_prefix": "Ms.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-24",
"last_updated": "2023-04-04",
"certification_date": "2023-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "8703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mora, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.