Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristin Alvis Miranda

Individual provider Speech-Language Pathologist · NPI 1215657788

Kristin Alvis Miranda is a Qualified Speech Language Pathologist in Maryville, Tennessee. Qualified in 2015, 11 years ago. Practices with Functional Pathways Preferred of Tennessee LLC, a 192-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
11
Licensed in
TN
In the registry since
2022
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Practice location Address checks out

1869 Crest Rd
Maryville, TN 37804-4304
Phone: (865) 210-7825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 901 Hugh Wallis Rd S, Lafayette, LA 70508-2511 — (865) 210-7825

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 5735 (TN)

Record details

NPI number1215657788
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 2, 2022
Last updated in NPPESSeptember 2, 2022
Certification dateAugust 31, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Functional Pathways Preferred Of Tennessee Llc — 192 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Maryville