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Kathleen Miranda

Speech-Language Pathologist • Bridgeton, MO

Active NPI 1205387610 Individual Practitioner Female Practitioner
Practice location in NPPES

12380 Depaul Drive
Bridgeton, MO 630442511

Call 3144479700 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

12380 Depaul Drive

Bridgeton, MO 630442511

Telephone 3144479700
Organization at the Same NPPES Address or Phone
Impact Physician Group, Missouri Pulmonary Services Llc Facility NPI 1437858677

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

NPI first issued

2016

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, “Does 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

Compared with the same specialty in Bridgeton and Missouri

30 active clinicians are listed under Speech-Language Pathologist with a practice address in Bridgeton, MO (5,056 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bridgeton

0% of these 30 clinicians have the CMS telehealth indicator.

0% of these 30 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 · Report an error.

Specialties & License Numbers Reported to NPPES

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES MO 2016029273

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: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

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

5 listed
Jessica Baldus

Occupational Therapist

NPI 1447821095
Dr. Shenif Ladak , MD

Physical Medicine & Rehabilitation

NPI 1376948604

Doctor of Medicine (M.D.)

Dr. Kelly O'brien , DPT

Physical Therapist

NPI 1124413315

Doctor of Physical Therapy

Dr. Herbert Villaflores , MD

Physical Medicine & Rehabilitation

NPI 1679519557

Doctor of Medicine (M.D.)

Dr. Nikita Wagle , MD

Physical Medicine & Rehabilitation

NPI 1932761095

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated October 20, 2016.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1205387610
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2016
Last Update: October 20, 2016
Sole Proprietor: No

Mailing Address

5100 Bischoff Ave

Saint Louis, MO 631103104

Phone: 5084399041

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.