Active NPI
Kelley Myers, M.S. CCC/SLP
- Speech-Language Pathologist
- Worthington, OH
National Provider Identifier
1679955991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP. 11582
- Practice address
- 7100 N High St
Suite 203
Worthington, OH 43085-2316 - Phone
- (614) 505-7330
- Fax
- (614) 388-5808
- NPI assigned
- Jun 23, 2015
- 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 | SP. 11582 | OH | Primary |
Addresses
Primary practice location
7100 N High St
Suite 203
Worthington, OH 43085-2316
Mailing address
3390 Elder Rd NE
Lancaster, OH 43130-9335
Phone (614) 205-2071
Other names 1
- Kelley Miller
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)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445817600000",
"number": "1679955991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3390 ELDER RD NE",
"city": "LANCASTER",
"state": "OH",
"postal_code": "431309335",
"telephone_number": "614-205-2071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 N HIGH ST",
"address_2": "SUITE 203",
"city": "WORTHINGTON",
"state": "OH",
"postal_code": "430852316",
"telephone_number": "614-505-7330",
"fax_number": "614-388-5808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "KELLEY",
"credential": "M.S. CCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-23",
"last_updated": "2015-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP. 11582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLEY",
"last_name": "MILLER",
"credential": "M.S. CCC/SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Worthington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.