Karissa Deanne Miller

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP-1670 Issued in ID

Practice address

1110 Call Creek Dr Ste 7
Pocatello, ID 83201-3072

Phone

(208) 410-7670

NPI assigned

Aug 14, 2008

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 ID

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.

• Hannah'S Place LLC

  • Pediatric Physical Therapist
  • Chubbuck, ID
  • NPI 1245653468

  Speech-Language Pathologist

  Medicare reassignment NPD
• Idaho State University

  • Audiologist
  • Pocatello, ID
  • NPI 1952474777

  Speech-Language Pathologist

  Medicare reassignment NPD
• Idaho State University

  • Community/Retail Pharmacy
  • McCammon, ID
  • NPI 1083393284
  NPD
• Small Talk the Speech and Language Preschool

  • Speech-Language Pathologist
  • Chubbuck, ID
  • NPI 1558502526
  NPD (past)

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1740436302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 WOODHILL WAY",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012635",
            "telephone_number": "208-410-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 CALL CREEK DR STE 7",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013072",
            "telephone_number": "208-410-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KARISSA",
        "middle_name": "DEANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-1670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miles Counseling LLC
• James Miles, PHARMD
• Jennifer Marie Miles, LCSW
• Anne Miller, LCSW
• Ernestine Miller, MS CCC-SLP
• Kaylee Miller, PT, DPT
• Lisa M Miller, NP
• Natalie Miller, PA-C
• Rachel Miller
• Ryan Ned Miller, D.O.

• Speech-Language Pathologist in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Speech-Language Pathologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.