Miriam Goss

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA13786 Issued in AZ

Practice address

3700 Prospector St
Kingman, AZ 86401-1901

Phone

(928) 753-2472

NPI assigned

Aug 15, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Kingman Unified School District

  • Student Health Clinic/Center
  • Kingman, AZ
  • NPI 1487938577
  NPD (past)
• Kingman Unified School District #20

  • Local Education Agency (LEA)
  • Kingman, AZ
  • NPI 1093938169
  NPD (past)

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1760100986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 MCDONALD AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 PROSPECTOR ST",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864011901",
            "telephone_number": "928-753-2472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3175 E Gordon Dr",
            "address_purpose": "LOCATION",
            "city": "Kingman",
            "state": "AZ",
            "postal_code": "864093303",
            "country_code": "US",
            "telephone_number": "928-753-6413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOSS",
        "first_name": "MIRIAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA13786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgoss@kusd.org",
            "affiliation": "Y",
            "endpointDescription": "KUSD email",
            "affiliationName": "Kingman Unified School District #20",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct communication between staff members",
            "address_1": "3175 E Gordon Dr",
            "city": "Kingman",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "864093303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary Renee Golden, DNP
• Adrian Q Gomez, D.O
• Goodwill of Northern Arizona
• Randolph M. Gorder, R.PH.
• Brian Christopher Goss, M.D.
• Ilangovan Govindarajan, M.D., CMD
• Siva S Gramm-Rohm, M.S. CCC-SLP
• Grand Canyon Medical Imaging LLC
• Alexandre Grebenchtchikov
• Bernice Isabel Greene, LCSW

• Speech-Language Assistant in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.