Individual provider Active NPI

Caitlyn Miller, CFY-SLP

  • Speech-Language Pathologist
  • Fargo, ND
National Provider Identifier
1841188760
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2916 Issued in ND
Practice address
4342 15TH Ave S Ste 105
Fargo, ND 58103-1125
Phone
(701) 936-9495
Fax
(952) 222-1994
NPI assigned
Jun 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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 2916 ND Primary

Addresses

Primary practice location

4342 15TH Ave S Ste 105
Fargo, ND 58103-1125

Mailing address

4474 24TH Ave S Apt 611
Fargo, ND 58104-3704
Phone (701) 247-3663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251031000971 ND Practitioner - Qualified Speech Language Pathologist 5890284517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4342 15TH Ave S
Suite 105
Fargo, ND 58103-1125

7250 County Rd
Suite 3
Barney, ND 58008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2916NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Embrace Therapy Services Speech-Language Pathologist CurrentSince Aug 18, 2025 Accepting new patients
Myna Early Intervention LLC PastSince Jun 1, 2025 Accepting new patients
Myna Therapy Services PLLC Speech-Language Pathologist PastSince Jun 1, 2025 Accepting new patients

Locations

4342 15th Ave S
Ste 105
Fargo, ND 58103
Phone (701) 936-9495

Organizations & group practices 3

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": "1750982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1841188760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4474 24TH AVE S APT 611",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581043704",
            "telephone_number": "701-247-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4342 15TH AVE S STE 105",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031125",
            "telephone_number": "701-936-9495",
            "fax_number": "952-222-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CAITLYN",
        "credential": "CFY-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-27",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "2916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.