Individual provider Active NPI

Caitlin Miller, M.A., CFY-SLP

  • Speech-Language Pathologist
  • Bethlehem, PA
National Provider Identifier
1962630541
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL009909 Issued in PA
Practice address
1 Kirkland Village Cir
Bethlehem, PA 18017-4797
Phone
(610) 691-4551
Fax
(610) 814-0689
NPI assigned
Jun 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Speech-Language Pathologist 235Z00000X SL009909 PA Primary

Addresses

Primary practice location

1 Kirkland Village Cir
Bethlehem, PA 18017-4797

Mailing address

628 Golf Rd
Tamaqua, PA 18252-5552
Phone (570) 386-2676

Other practice location 1

846 E Wiconisco Ave
Tower City, PA 17980-1609
Phone (570) 366-4606

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)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1962630541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 GOLF RD",
            "city": "TAMAQUA",
            "state": "PA",
            "postal_code": "182525552",
            "telephone_number": "570-386-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KIRKLAND VILLAGE CIR",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180174797",
            "telephone_number": "610-691-4551",
            "fax_number": "610-814-0689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "846 E Wiconisco Ave",
            "address_purpose": "LOCATION",
            "city": "Tower City",
            "state": "PA",
            "postal_code": "179801609",
            "country_code": "US",
            "telephone_number": "570-366-4606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CAITLIN",
        "name_prefix": "Miss",
        "credential": "M.A., CFY-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL009909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.