Active NPI
Katherine Hicks Milliken, CCC-SLP
- Speech-Language Pathologist
- Fuquay Varina, NC
National Provider Identifier
1871077586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 15067
- Practice address
- 908 Flat Stone Dr
Fuquay Varina, NC 27526-7579 - Phone
- (270) 535-8410
- NPI assigned
- Sep 18, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 113110 | TX | |
| Speech-Language Pathologist | 235Z00000X | 15067 | NC | Primary |
Addresses
Primary practice location
908 Flat Stone Dr
Fuquay Varina, NC 27526-7579
Mailing address
908 Flat Stone Dr
Fuquay Varina, NC 27526-7579
Phone (270) 535-8410
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113110 | Other | TX | TEXAS DEPARTMENT OF LICENSING AND REGULATION |
| 14288751 | Other | AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION (ASHA) | |
| 15067 | Other | NC | NORTH CAROLINA BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGISTS & AUDIOLOGIST |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113110 | TX | MD | Occupational Therapist |
| 15067 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids DC, LLC | 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": "1537228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634256000000",
"number": "1871077586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 FLAT STONE DR",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275267579",
"telephone_number": "270-535-8410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 FLAT STONE DR",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275267579",
"telephone_number": "270-535-8410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLIKEN",
"first_name": "KATHERINE",
"middle_name": "HICKS",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-18",
"last_updated": "2021-10-15",
"certification_date": "2021-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "113110",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "15067",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS DEPARTMENT OF LICENSING AND REGULATION",
"identifier": "113110",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION (ASHA)",
"identifier": "14288751",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH CAROLINA BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGISTS & AUDIOLOGIST",
"identifier": "15067",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fuquay Varina, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.