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Jennifer K. Miller , CCC-SLP

Speech-Language Pathologist β€’ Tempe, AZ

Active NPI 1104900653 Individual Practitioner Female Practitioner
Practice location in NPPES

1930 E Southern Ave
Tempe, AZ 852827518

Call 4804560719 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1930 E Southern Ave

Tempe, AZ 852827518

Telephone 4804560719
Fax 4804560163
Organization at the Same NPPES Address or Phone
Pioneer Pet, Llc Facility NPI 1265401996

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jennifer Miller has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Tempe and Arizona

233 active clinicians are listed under Speech-Language Pathologist with a practice address in Tempe, AZ (4,510 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Tempe

0% of these 233 clinicians have the CMS telehealth indicator.

5.6% of these 233 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES AZ SLP5204

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
144506 (AZ)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST

Medicare Enrollment ID

I20161018002470

Enrollment State Jurisdiction

AZ

PECOS Control ID

4284922675

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Andrea Ellensohn , OT

Occupational Therapist

NPI 1043336167

Occupational Therapist

Dr. Jessie Klein , PT, DPT

Physical Therapist

NPI 1124540158

Physical Therapist, Doctor of Physical Therapy

NPI 1740813492

Doctor of Physical Therapy

Michael Mckown , PT

Physical Therapist

NPI 1073656435

Physical Therapist

Dr. Mark Rolwes , DPT

Physical Therapist - Pediatrics

NPI 1891172649

Doctor of Physical Therapy

Jacqueline Wiersma , PT

Physical Therapist

NPI 1154517274

Physical Therapist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location May 10, 2018

Registered at 1930 E SOUTHERN AVE, TEMPE, AZ 852827518 (Tel: 4804560719)

πŸ“
Updated Business Mailing Address May 10, 2018

Registered at 18246 N 15TH PL, PHOENIX, AZ 850221278 (Tel: 5054806926)

πŸ‘€
Provider Name / Credentials Updated May 10, 2018

Recorded as JENNIFER MILLER, CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2018

Speech-Language Pathologist (license number reported to NPPES: AZ SLP5204)

βœ…
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 09, 2007

Registered at 15002 N 32ND ST, PHOENIX, AZ 850324441 (Tel: 6028675223)

πŸ“
Business Mailing Address (Initial Record) July 09, 2007

Registered at 15002 N 32ND ST, PHOENIX, AZ 850324441 (Tel: 6028675223)

πŸ‘€
Provider Name / Credentials (Initial Record) July 09, 2007

Recorded as JENNIFER MOWERY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Speech-Language Pathologist (license number reported to NPPES: AZ TSLP5204)

🟒
Initial NPI Registration & Enumeration October 24, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104900653
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 24, 2006
Last Update: May 10, 2018
Sole Proprietor: No

Other Speech-Language Pathologists in Tempe

Healthcare providers in Tempe

Mailing Address

18246 N 15th Pl

Phoenix, AZ 850221278

Phone: 5054806926

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.