Kimberly Miebach

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00961300 Issued in NJ

Practice address

192 Tower Dr
Suite 400
Middletown, NY 10941-2056

Phone

(845) 692-4391

NPI assigned

Jul 20, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Damon Physical Therapy

  • Physical Therapy Clinic/Center
  • Lafayette, NJ
  • NPI 1598386245
  NPD
• Ages & Stages , LLP

  • Early Intervention Provider Agency
  • Middletown, NY
  • NPI 1487830113
  NPD (past)
• Performance Pediatrics

  • Occupational Therapist
  • Lafayette, NJ
  • NPI 1457624827

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1689027112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 RT 15 NORTH",
            "city": "LAFFAYETTE",
            "state": "NJ",
            "postal_code": "07848",
            "telephone_number": "973-862-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 TOWER DR",
            "address_2": "SUITE 400",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109412056",
            "telephone_number": "845-692-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIEBACH",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00961300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Middletown RX Pharmacy Corporation
• Middletown RX Pharmacy Corporation
• Middletown Urologic Associates, P.C.
• Middletown Urologic Associates, P.C.
• Middletown Urologic Associates, P.C.
• Theresa Ann Mihok, MSW
• Mariam Essam Mikhail, PTA
• Daniela Milanez, SLP
• April Miller
• Brandon Miller, HIS

• Speech-Language Pathologist in Middletown, NY
• Providers in Middletown, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.