KELLAN ALISE MILLER (NPI# 1720381379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720381379 |
| Entity Type | Individual |
| Full Name | KELLAN ALISE MILLER |
| Credential | MSCFSLP |
| Practice Address |
204 Jefferson Avenue Grant County Board of Education Petersburg WV 26847 |
| Practice Telephone | 3042673595 |
| Practice Fax Number | 3042673599 |
| Mailing Telephone | 3042673595 |
| Mailing Fax Number | 3042673599 |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2010-12-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 7085 | WV | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093941775 | Kellan Robert Miller | Family Medicine | 7551 W Alameda Ave, Lakewood, CO 80226-3208 | 2009-06-08 |
| Street Address |
204 JEFFERSON AVENUE GRANT COUNTY BOARD OF EDUCATION |
| City | PETERSBURG |
| State | WV |
| Zip Code | 26847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700055365 | Grant County Board of Education | Local Education Agency (LEA) | 204 Jefferson Avenue, Grant County Board of Education, Petersburg, WV 26847 | 2008-02-27 |
| 1932647815 | Misty Corbin | Registered Nurse | 204 Jefferson Avenue, Grant County Board of Education, Petersburg, WV 26847 | 2017-02-10 |
| 1942667993 | Kassidy Haslacker | Psychologist | 204 Jefferson Avenue, Grant County Board of Education, Petersburg, WV 26847 | 2016-01-21 |
| 1619210093 | Danielle R. Thorne | Speech-Language Pathologist | 204 Jefferson Avenue, Grant County Board of Education, Petersburg, WV 26847 | 2013-04-03 |
| 1780926311 | Jennifer R. Daugherty | Registered Nurse | 204 Jefferson Avenue, Grant County Board of Education, Petersburg, WV 26847 | 2013-03-21 |
| 1568772317 | Ellen I Kirby | Registered Nurse | 204 Jefferson Avenue, Grant County Board of Eduction, Petersburg, WV 26847 | 2010-10-14 |
| 1619204765 | Wendy Deicas | Speech-Language Pathologist | 204 Jefferson Avenue, Grant County Board of Education, Petersburg, WV 26847 | 2009-11-11 |
| 1225275118 | Angela Cosner | Registered Nurse | 204 Jefferson Avenue, Grant County Board of Education, Petersburg, WV 26847 | 2009-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688419 | Kimberly Dawn Runion | Technician | 791 Cave Mtn Rd, Petersburg, WV 26847 | 2020-10-30 |
| 1417568445 | Sandra Shook | Technician | 145 Army Lane, Petersburg, WV 26847 | 2020-08-13 |
| 1023590874 | Milas Robertson | Registered Nurse | 117 Hospital Drive, Petersbirg, WV 26847 | 2018-08-29 |
| 1043723851 | Cathy Lynn Arbogast | Technician | 6114 Rig Road, Rig, WV 26847 | 2017-11-15 |
| 1497028500 | Fort Ashby Business Associates, Inc. | Hearing Aid Equipment | 141 Water Street, Moorefield, WV 26847 | 2012-02-21 |
| 1770856882 | Fort Ashby Business Associates, Inc | Durable Medical Equipment & Medical Supplies | 1045 North Fork Highway, Petersburg, WV 26847 | 2012-02-21 |
| 1518278118 | Amanda Marie Borror | Obstetrics & Gynecology | 65 Hospital Dr Ste 104, Petersburg, WV 26847 | 2010-06-29 |
| 1679741664 | Andrea D Brogan | Speech-Language Pathologist | Grant County Board of Education, 204 Jefferson Avenue, Petersburg, WV 26847 | 2008-02-13 |
| 1538347943 | Larry C. Rogers | Family Medicine | Memorial Dr, Petersburg, WV 26847 | 2008-02-07 |
| 1245421312 | Grant Memorial Hospital Home Infusion Therapy Services | Pharmacy | Rt 4 and 28, Petersburg, WV 26847 | 2007-08-05 |
| Find all providers in zip 26847 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194230946 | Stormi Brue | Speech-Language Pathologist | 842 Red Bud Pl, Petersburg, IL 62675-9576 | 2017-12-01 |
| 1427576495 | Hayley Rebecka Cline | Speech-Language Pathologist | 18849 Cline St, Petersburg, IL 62675-7037 | 2017-08-30 |
| 1790183903 | Cynthia Morgan Marstin | Speech-Language Pathologist | 6405 Boydton Plank Road, Petersburg, VA 23803-7401 | 2014-12-22 |
| 1619283231 | Sarah K. D. Nelson | Speech-Language Pathologist | 6405 Boydton Plank Rd, Petersburg, VA 23803-7401 | 2010-08-19 |
| 1376783415 | Sandra Marie Catlin | Speech-Language Pathologist | 762 56 Road, Petersburg, NY 12138 | 2009-03-03 |
| 1679741664 | Andrea D Brogan | Speech-Language Pathologist | Grant County Board of Education, 204 Jefferson Avenue, Petersburg, WV 26847 | 2008-02-13 |
| 1699952945 | Shirron Dobie Bullock | Speech-Language Pathologist | 255 E South Blvd, Petersburg, VA 23805 | 2008-01-29 |
| 1386840700 | Tracy Ann Muller | Speech-Language Pathologist | 748 Persimmon Rd, Petersburg, IL 62675-9554 | 2007-06-22 |
| 1700483245 | Jerome Eric Coleman | Speech-Language Pathologist | 255 E South Blvd, Petersburg, VA 23805-2700 | 2020-10-07 |
| 1518423854 | Margaret Anne Otto | Speech-Language Pathologist | 250 Flank Rd, Petersburg, VA 23805-9117 | 2019-02-12 |
| Find all providers in PETERSBURG | ||||
| City | PETERSBURG |
| Zip Code | 26847 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.