Active NPI
Andrea Milburn, MS
- Speech-Language Pathologist
- Harrisonburg, VA
National Provider Identifier
1821179680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 220200503
- Practice address
- 463 E Washington St
Harrisonburg, VA 22802-4853 - Phone
- (540) 433-3100
- Fax
- (540) 432-6989
- NPI assigned
- Oct 18, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL008400 | PA | |
| Speech-Language Pathologist | 235Z00000X | 220200503 | VA | Primary |
Addresses
Primary practice location
463 E Washington St
Harrisonburg, VA 22802-4853
Mailing address
463 E Washington St
Harrisonburg, VA 22802-4853
Phone (540) 433-3100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1015341750002 | Medicaid | PA | |
| 1015341750003 | Medicaid | PA |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL008400 | PA | MD | Speech-Language Pathologist |
| 220200503 | VA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harrisonburg Rockingham Community Services Board | Past | Accepting new patients | |
| Harrisonburg-Rockingham Community Services Board | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Early Intervention Provider Agency
- Harrisonburg, VA
- NPI 1881886133
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Harrisonburg, VA
- NPI 1215933817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314662400000",
"number": "1821179680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "463 E WASHINGTON ST",
"city": "HARRISONBURG",
"state": "VA",
"postal_code": "228024853",
"telephone_number": "540-433-3100",
"fax_number": "540-432-6989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "463 E WASHINGTON ST",
"city": "HARRISONBURG",
"state": "VA",
"postal_code": "228024853",
"telephone_number": "540-433-3100",
"fax_number": "540-432-6989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILBURN",
"first_name": "ANDREA",
"name_prefix": "Mrs.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2011-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL008400",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "220200503",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1015341750002",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1015341750003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisonburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.