Individual provider Active NPI

Emily Nicole Miller, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Media, PA
National Provider Identifier
1851810469
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL014012 Issued in PA
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

Updated by the provider on Mar 13, 2024

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 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 Former name

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

LicenseStateTypeSpecialty
SL014012PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.