Lacey Brooke Miller, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP10657 Issued in AZ

Practice address

1601 N Tucson Blvd Ste 6
Tucson, AZ 85716-3404

Phone

(520) 829-9635

NPI assigned

Jul 11, 2017

Sex

Female

Sole proprietor

Yes

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 AZ

Enrollment records 1

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.

• Mealtime Connections, LLC

  • Specialist
  • Tucson, AZ
  • NPI 1912035742

  Speech-Language Pathologist

  Medicare reassignment NPD

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1699297754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9387 E CARMEL DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857475305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N TUCSON BLVD STE 6",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163404",
            "telephone_number": "520-829-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LACEY",
        "middle_name": "BROOKE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP10657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karina Miller, COTA/L
• Kathleen Ellen Miller, RN
• Kathryn Nicole Miller, PT, DPT, MBA
• Kenny Edward Miller, MSW, LCSW
• Kristin Miller, AT
• Laura Klein Miller, MD
• Lauren Denise Miller, PHARMD
• Lauren K Miller, PA
• Lirio Miller, FNP-C
• Luke Miller, MD

• Speech-Language Pathologist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.