Individual provider Active NPI

Myles B Nobles, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Laurel, MD
National Provider Identifier
1831660133
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
09002 Issued in MD
Practice address
14140 W Side Blvd Apt 309
Laurel, MD 20707-6222
Phone
(301) 615-2529
NPI assigned
Dec 12, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 09002 MD Primary

Addresses

Primary practice location

14140 W Side Blvd Apt 309
Laurel, MD 20707-6222

Mailing address

14140 W Side Blvd Apt 309
Laurel, MD 20707-6222
Phone (301) 615-2529

Other practice location 1

10910 Clarksville Pike
Ellicott City, MD 21042-6106
Phone (410) 313-6600

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

LicenseStateTypeSpecialty
09002MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nobles Speech Therapy, LLC. Speech-Language Pathologist CurrentSince Aug 23, 2020 Accepting new patients

Locations

14900 Sweitzer Ln
Laurel, MD 20707
Phone (301) 615-1007

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1544572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1831660133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14140 W SIDE BLVD APT 309",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207076222",
            "telephone_number": "301-615-2529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14140 W SIDE BLVD APT 309",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207076222",
            "telephone_number": "301-615-2529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10910 Clarksville Pike",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210426106",
            "country_code": "US",
            "telephone_number": "410-313-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOBLES",
        "first_name": "MYLES",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-12",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "09002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.