Kasey Kathleen Macmillan, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

04542 Issued in MD

Practice address

6040 Harford Rd
Baltimore, MD 21214-1327

Phone

(901) 573-1381

Fax

(410) 254-0619

NPI assigned

Apr 11, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821211525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 BOSTON ST",
            "address_2": "#423",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141327",
            "telephone_number": "901-573-1381",
            "fax_number": "410-254-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACMILLAN",
        "first_name": "KASEY",
        "middle_name": "KATHLEEN",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "04542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "04542",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yvonne D Macklin, RN
• Richard Frank Macko, MD
• Philip A Mackowiak, M.D.
• Taylor Marie Maclean, PSYD
• Thomas Archie Maclean, MD
• Lindsey Alana Macnabb, M.D.
• Lindsey Kathleen Macneil, FNP-C, MPH
• Liana Macneill, D.AC
• VI-Nita Macon, CSC-AD
• Victoria Leeanne Macquilliam

• Speech-Language Pathologist in Baltimore, MD
• Providers in Baltimore, 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 Jul 8, 2007; 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.