Kathryn Poffenbarger Miller

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

17662 Issued in FL

Practice address

7815 Locust PL
Port Tobacco, MD 20677-2002

Phone

(301) 392-3908

NPI assigned

Apr 19, 2007

Last updated

Oct 18, 2023By the provider in NPPES

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

Other names 1

• Kathryn Poffenbarger Colver Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pro Rehabilitation, Inc.

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  • NPI 1255607958
  NPD

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1730306069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S 13TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504054",
            "telephone_number": "772-464-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7815 LOCUST PL",
            "city": "PORT TOBACCO",
            "state": "MD",
            "postal_code": "206772002",
            "telephone_number": "301-392-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KATHRYN",
        "middle_name": "POFFENBARGER",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "03324",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "17662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "COLVER",
            "middle_name": "POFFENBARGER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joann Altiero, PH.D
• Elaine Sarah Belson, LCSW-C
• Anne Christine Crowley, L.AC.
• Elizabeth Regina Greene, LPC
• Laplata Acupuncture and Healing Arts, LLC
• Mubarik Ahmad Shah, MD
• Shanaee Badu Walker
• Ruth Virginia L. Webster, LCSW-C

• Speech-Language Pathologist in Port Tobacco, MD
• Providers in Port Tobacco, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.

Verify at the official NPI Registry.