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Miranda Wilder

Speech-Language Pathologist β€’ Liberty, MO

Active NPI 1306411145 Individual Practitioner Female Practitioner
Practice location in NPPES

888 Haines Ste 114
Liberty, MO 640681008

Call 8167979690 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

888 Haines Ste 114

Liberty, MO 640681008

Telephone 8167979690
Organization at the Same NPPES Address or Phone
Northland Speech And Language Therapy, Llc Facility NPI 1376102533

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

NPI first issued

2021

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

Compared with the same specialty in Liberty and Missouri

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Liberty

0% of these 35 clinicians have the CMS telehealth indicator.

8.6% of these 35 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

Self-certified to NPPES: 2024-12-09
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES KS 4543

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

Career & Practice History Timeline

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

7 Historical Events
πŸ‘€
Provider Name / Credentials Updated December 09, 2024

Recorded as MIRANDA WILDER

βœ…
NPI Profile Active May 24, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 24, 2021

Registered at 888 HAINES STE 114, LIBERTY, MO 640681008 (Tel: 8167979690)

πŸ“
Business Mailing Address (Initial Record) May 24, 2021

Registered at 13418 OAKBROOK DR, KEARNEY, MO 640608093 (Tel: 8167979690)

πŸ‘€
Provider Name / Credentials (Initial Record) May 24, 2021

Recorded as MIRANDA MCCLUNG

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2021

Speech-Language Pathologist (license number reported to NPPES: KS 4543)

🟒
Initial NPI Registration & Enumeration May 24, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1306411145
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2021
Last Update: December 09, 2024
Sole Proprietor: No

Other Speech-Language Pathologists in Liberty

Healthcare providers in Liberty

Mailing Address

13418 Oakbrook Dr

Kearney, MO 640608093

Phone: 8167979690

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.