Active NPI
Jennifer Minihan, SLP
- Speech-Language Pathologist
- Raleigh, NC
National Provider Identifier
1013268895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 10539
- Practice address
- 4328 Bland Rd
Raleigh, NC 27609-6125 - Phone
- (919) 981-6588
- Fax
- (919) 981-6255
- NPI assigned
- Sep 20, 2012
- Last updated
- May 12, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 10539 | NC | Primary |
Addresses
Primary practice location
4328 Bland Rd
Raleigh, NC 27609-6125
Mailing address
186 Wind Chime CT Ste 104
Raleigh, NC 27615-6486
Phone (919) 870-1280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10539 | NC | MD | Durable Medical Equipment & Medical Supplies |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Aspen Center Inc. | Speech-Language Pathologist | Past | Accepting new patients |
| The Aspen Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Raleigh, NC
- NPI 1730212416
-
- Speech-Language Pathologist
- Raleigh, NC
- NPI 1417080607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399852800000",
"number": "1013268895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 WIND CHIME CT STE 104",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276156486",
"telephone_number": "919-870-1280",
"fax_number": "919-870-1285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4328 BLAND RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276096125",
"telephone_number": "919-981-6588",
"fax_number": "919-981-6255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINIHAN",
"first_name": "JENNIFER",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-20",
"last_updated": "2014-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "10539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.