Miranda Roberts, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TSLP5401 Issued in AZ

Practice address

1402 E. South Mountain Ave.
Phoenix, AZ 85042

Phone

(602) 243-4231

NPI assigned

Sep 23, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Anderson & Bates Inc

  • Physical Therapy Clinic/Center
  • Tucson, AZ
  • NPI 1003098245
  NPD (past)
• Arizona Advanced Therapy

  • Multi-Specialty Clinic/Center
  • Chandler, AZ
  • NPI 1306963038
  NPD (past)

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1841440211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 E. SOUTH MOUNTAIN AVE.",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85042",
            "telephone_number": "602-243-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 E. SOUTH MOUNTAIN AVE.",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85042",
            "telephone_number": "602-243-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MIRANDA",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP5401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberley Jean Roberts, WHNP
• Laney Joyce Roberts, CF-SLP
• Lavada Michele Roberts, LAC
• Mia J Roberts
• Michael S Roberts, M.D.
• Phyllis Roberts
• Robert Roberts, MD,MACC,FRCP,FRSC
• Samantha Roberts, PA-C
• Samantha Roberts, LCSW
• Sandra Lynn Roberts, RPH

• All providers in Phoenix, AZ
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.