Active NPI
Victoria McGinnis
- Speech-Language Pathologist
- Brookings, SD
National Provider Identifier
1043030398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1320-SLP
- Practice address
- 2130 8TH St S
Brookings, SD 57006-3507 - Phone
- (605) 696-4712
- NPI assigned
- Oct 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 1320-SLP | SD | Primary |
Addresses
Primary practice location
2130 8TH St S
Brookings, SD 57006-3507
Mailing address
3910 Faversham Rd
University Heights, OH 44118-3732
Phone (210) 852-5991
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 |
|---|---|---|---|
| 1320-SLP | SD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1043030398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3910 FAVERSHAM RD",
"city": "UNIVERSITY HEIGHTS",
"state": "OH",
"postal_code": "441183732",
"telephone_number": "210-852-5991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 8TH ST S",
"city": "BROOKINGS",
"state": "SD",
"postal_code": "570063507",
"telephone_number": "605-696-4712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGINNIS",
"first_name": "VICTORIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-11",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SD",
"license": "1320-SLP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookings, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.