Active NPI
Myles B Nobles, M.S., CCC-SLP
- Speech-Language Pathologist
- Laurel, MD
National Provider Identifier
1831660133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 09002
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 09002 | MD | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nobles Speech Therapy, LLC. | Speech-Language Pathologist | Current | 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.
-
- Speech-Language Pathologist
- Laurel, MD
- NPI 1427660638
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.