Active NPI
Nicole Miller, MA CCC-SLP
- Speech-Language Pathologist
- Chicago, IL
National Provider Identifier
1982056677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 9882
- Practice address
- 360 W Hubbard St Apt 2303
Chicago, IL 60654 - Phone
- (908) 907-7081
- NPI assigned
- Jul 6, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 9882 | MA | Primary |
Addresses
Primary practice location
360 W Hubbard St Apt 2303
Chicago, IL 60654
Mailing address
360 W Hubbard St Apt 2303
Chicago, IL 60654-5753
Other practice location 1
7 Loring Hills Ave
Salem, MA 01970-4267
Phone (978) 741-5700
Other practice location 2
7 Loring Hills Ave
Salem, MA 01970-4267
Phone (978) 741-5700
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nmiller@sahchicago.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9882 | MA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorycare Corporation | Speech-Language Pathologist | Current | Accepting new patients |
| Council for Jewish Elderly | Current | Accepting new patients | |
| Council for Jewish Elderly | Current | Accepting new patients |
Locations
3003 W Touhy Ave
Chicago, IL 60645
Phone (773) 508-1000
1601 Lake Cook Rd
Deerfield, IL 60015
Phone (773) 508-4475
Organizations & group practices 3
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.
-
- Rehabilitation Clinic/Center
- Deerfield, IL
- NPI 1467012807
-
- Speech-Language Pathologist
- Aurora, IL
- NPI 1609193515
-
- Adult Day Care Clinic/Center
- Evanston, IL
- NPI 1619921566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562544000000",
"number": "1982056677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 W HUBBARD ST APT 2303",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606545753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 W HUBBARD ST APT 2303",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60654",
"telephone_number": "908-907-7081"
}
],
"practiceLocations": [
{
"address_1": "7 Loring Hills Ave",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "MA",
"postal_code": "019704267",
"country_code": "US",
"telephone_number": "978-741-5700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7 Loring Hills Ave",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "MA",
"postal_code": "019704267",
"country_code": "US",
"telephone_number": "978-741-5700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "NICOLE",
"credential": "MA CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-06",
"last_updated": "2019-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "9882",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nmiller@sahchicago.org",
"affiliation": "N",
"address_1": "360 W Hubbard St Apt 2303",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606545753",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.