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Deactivated NPI 1518013937 Deactivated / Inactive NPI Female Practitioner

Carol R Miller , MNS, CCC-SLP

Speech-Language Pathologist • Mesa, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Carol Miller has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 26, 2007
NPI Deactivation Date January 23, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Carol Miller, MNS, CCC-SLP was a registered Speech-Language Pathologist practicing in Mesa, AZ. Throughout an active medical career spanning 18 years, Carol Miller provided care at the practice location at 1025 N COUNTRY CLUB DR until profile deactivation on 2025-01-23.

Practice Location & Contact Primary Location

Practice Address

1025 N Country Club Dr

Mesa, AZ 852013307

Telephone 4804720727
Fax 4804720705
Associated Practice Facility / Clinic
🏢 Mesa Public Schools Facility NPI 1992869580

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.7 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
429 Specialists

Practicing in Mesa, AZ (4584 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License AZ SLP4828

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Annette Mahan

Speech-Language Pathologist

NPI 1003939604
Leslie Daniels , BSN, RN, NCSN

Registered Nurse - School

NPI 1013108166

Bachelor of Science in Nursing, Registered Nurse, NCSN

Janet Shepherd

Speech-Language Pathologist

NPI 1063563153
Susan Armer

Speech-Language Pathologist

NPI 1063569416
Kathleen Rath

Speech-Language Pathologist

NPI 1063569713
Helen Rindone , PT

Physical Therapist

NPI 1063587145

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 23, 2025

Record deactivated on January 23, 2025

NPI Profile Active August 15, 2012

NPI status registered as active in NPPES database

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Updated Practice Location August 15, 2012

Registered at 1025 N COUNTRY CLUB DR, MESA, AZ 852013307 (Tel: 4804720727)

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Updated Business Mailing Address August 15, 2012

Registered at 10702 E ARBOR AVE, MESA, AZ 852088743 (Tel: 4802847154)

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Provider Name / Credentials Updated August 15, 2012

Recorded as CAROL MILLER, MNS, CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2012

Speech-Language Pathologist (License #SLP4828 in AZ)

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Initial NPI Registration & Enumeration January 26, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518013937
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 26, 2007
Last Update: August 15, 2012
Deactivation Date: January 23, 2025

Mailing Address

10702 E Arbor Ave

Mesa, AZ 852088743

Phone: 4802847154

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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