Azmina Vining, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9318 Issued in MN

Practice address

6693 Timber Ridge Lane CT
Cottage Grove, MN 55016-6100

Phone

(651) 353-0634

NPI assigned

Feb 5, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Ms. Azmina Bachelani Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1003207564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6693 TIMBER RIDGE LANE CT",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550166100",
            "telephone_number": "651-353-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6693 TIMBER RIDGE LANE CT",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550166100",
            "telephone_number": "651-353-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINING",
        "first_name": "AZMINA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-05",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "3993-154",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "9318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AZMINA",
            "last_name": "BACHELANI",
            "prefix": "MS.",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charity Joy Vaillancourt, RN
• Pakou Vang, PHARMD
• Patricia May Vanlandschoot, OTR/L
• Danielle Jenifer Vetter Larson, LICSW
• Carrie Elisabeth Victor
• Julie K. Vogel, MD
• Silas Kfusalu Waindim Sr., MR
• Fayine H Wako
• Wal-Mart Stores, Inc.
• Jennie Walby

• Speech-Language Pathologist in Cottage Grove, MN
• Providers in Cottage Grove, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.