Active NPI
Natalie Miles, SLP
- Speech-Language Pathologist
- Saint Louis, MO
National Provider Identifier
1700932555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2000157964
- Practice address
- 1082 Old Des Peres Rd
St Louis, MO 63131 - Phone
- (314) 821-5230
- Fax
- (314) 821-5309
- NPI assigned
- Jan 26, 2007
- 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 | 2000157964 | MO | Primary |
Addresses
Primary practice location
1082 Old Des Peres Rd
St Louis, MO 63131
Mailing address
1082 Old Des Peres Rd
St Louis, MO 63131
Phone (314) 821-5230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 465161206 | Medicaid | MO |
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 |
|---|---|---|---|
| 2000157964 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210032000000",
"number": "1700932555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1082 OLD DES PERES RD",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63131",
"telephone_number": "314-821-5230",
"fax_number": "314-821-5309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1082 OLD DES PERES RD",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63131",
"telephone_number": "314-821-5230",
"fax_number": "314-821-5309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "NATALIE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2008-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2000157964",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "465161206",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.