Audrey Rose McMillion, CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

17200 Issued in OR

Practice address

Child Development & Rehabilitation Center
707 SW Gaines Street
Portland, OR 97239

Phone

(503) 346-0640

NPI assigned

Aug 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• One in a Million Speech Therapy, PLLC

  • Speech-Language Pathologist
  • Durham, NC
  • NPI 1922894617
  NPD Authorized official

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1861168148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 TAMWORTH CRK",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277079628",
            "telephone_number": "870-403-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHILD DEVELOPMENT & REHABILITATION CENTER",
            "address_2": "707 SW GAINES STREET",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97239",
            "telephone_number": "503-346-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLION",
        "first_name": "AUDREY",
        "middle_name": "ROSE",
        "credential": "CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "17200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON BOARD OF  EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY",
            "identifier": "17200",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kala McMillan
• Liana McMillan, LPC
• Santina Maria McMillan
• Caeley Rhyann McMillen
• Andrew C McMillin, SLP
• Danielle Rae McMinn Kaigler, CADC I
• James Sheppard Bruce McMinn, RN
• Rachel Anne McMorris
• John Barton McMullan Jr, M.D.
• Lori Lee McMullan, M.D.

• Speech-Language Pathologist in Portland, OR
• Providers in Portland, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.

Verify at the official NPI Registry.