Active NPI
Emily Nicole Miller, M.A., CCC-SLP
- Speech-Language Pathologist
- Media, PA
National Provider Identifier
1851810469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL014012
- Practice address
- 77 W Baltimore Pike Ste 100B
Media, PA 19063-5639 - Phone
- (610) 572-5520
- Fax
- (610) 572-5521
- NPI assigned
- Sep 14, 2017
- Sex
- Female
- Sole proprietor
- No
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 | SL014012 | PA | Primary |
Addresses
Primary practice location
77 W Baltimore Pike Ste 100B
Media, PA 19063-5639
Mailing address
4306 Fox Pointe CT
Glen Mills, PA 19342-8144
Other practice location 1
1 Raymond Dr
Havertown, PA 19083-3100
Phone (610) 572-5520
Other practice location 2
1646 W Chester Pike Ste 4
West Chester, PA 19382-7979
Phone (610) 572-5520
Other names 1
- Emily Kish
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL014012 | PA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beyond Related Services LLC | Speech-Language Pathologist | Past | Accepting new patients |
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
- Media, PA
- NPI 1215812524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1851810469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4306 FOX POINTE CT",
"city": "GLEN MILLS",
"state": "PA",
"postal_code": "193428144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 W BALTIMORE PIKE STE 100B",
"city": "MEDIA",
"state": "PA",
"postal_code": "190635639",
"telephone_number": "610-572-5520",
"fax_number": "610-572-5521"
}
],
"practiceLocations": [
{
"address_1": "1 Raymond Dr",
"address_purpose": "LOCATION",
"city": "Havertown",
"state": "PA",
"postal_code": "190833100",
"country_code": "US",
"telephone_number": "610-572-5520",
"fax_number": "610-572-5521",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1646 W Chester Pike Ste 4",
"address_purpose": "LOCATION",
"city": "West Chester",
"state": "PA",
"postal_code": "193827979",
"country_code": "US",
"telephone_number": "610-572-5520",
"fax_number": "610-572-5521",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "EMILY",
"middle_name": "NICOLE",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-14",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL014012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "KISH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.