Individual provider Active NPI

Kristin Miller, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Saugus, CA
National Provider Identifier
1891316956
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
24382 Issued in CA
Practice address
28360 Alfreds Way
Saugus, CA 91350-3839
Phone
(310) 437-3423
NPI assigned
Apr 29, 2020
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 24382 CA Primary

Addresses

Primary practice location

28360 Alfreds Way
Saugus, CA 91350-3839

Mailing address

11608 Wish Ave
Granada Hills, CA 91344-2522
Phone (310) 437-3423

Other practice location 1

11608 Wish Ave
Granada Hills, CA 91344-2522
Phone (310) 437-3423

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.saugususd.org/ Other

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 Science

State licenses

LicenseStateTypeSpecialty
24382CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1891316956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11608 WISH AVE",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913442522",
            "telephone_number": "310-437-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28360 ALFREDS WAY",
            "city": "SAUGUS",
            "state": "CA",
            "postal_code": "913503839",
            "telephone_number": "310-437-3423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11608 Wish Ave",
            "address_purpose": "LOCATION",
            "city": "Granada Hills",
            "state": "CA",
            "postal_code": "913442522",
            "country_code": "US",
            "telephone_number": "310-437-3423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KRISTIN",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-29",
        "last_updated": "2023-11-27",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "24382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.saugususd.org/",
            "affiliation": "Y",
            "endpointDescription": "district website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "unknown",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "unknown",
            "address_1": "28360 Alfreds Way",
            "city": "Saugus",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913503839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saugus, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.