Gini M. Miller, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

015152 Issued in NY

Practice address

45 Plum Court Dr
Poughquag, NY 12570-4504

Phone

(845) 724-5636

NPI assigned

Jul 23, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Lifespire, Inc.

  • Voluntary or Charitable Agency
  • Hollis, NY
  • NPI 1164629788
  NPD (past)
• Lifespire, Inc.

  • Clinic/Center
  • New York, NY
  • NPI 1497709166
  NPD (past)

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1912162587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 PLUM COURT DR",
            "city": "POUGHQUAG",
            "state": "NY",
            "postal_code": "125704504",
            "telephone_number": "845-724-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 PLUM COURT DR",
            "city": "POUGHQUAG",
            "state": "NY",
            "postal_code": "125704504",
            "telephone_number": "845-724-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "GINI",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "015152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise McMahon
• Jennifer Noelle McShane
• Danielle Micera, BCBA, LBA
• Millar Chiropractic PLLC
• Andrew Judson Millar, D.C.
• Tina Marie Miritello, L.P.N.
• Patricia Anne Moran, M.S., B.A.
• Jennifer Munz
• Taylor Caitlyn Nyberg, LMFT
• Rosanna Obrien

• Speech-Language Pathologist in Poughquag, NY
• Providers in Poughquag, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.