Individual provider Active NPI

Trudi Mingus, M.S., SLP

  • Speech-Language Pathologist
  • Missoula, MT
National Provider Identifier
1073059358
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-SP-LIC-6678 Issued in MT
Practice address
2875 Tina Ave
Missoula, MT 59808-1581
Phone
(406) 541-8778
NPI assigned
Jan 11, 2017
Last updated
Oct 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP-SP-LIC-6678 MT Primary

Addresses

Primary practice location

2875 Tina Ave
Missoula, MT 59808-1581

Mailing address

808 S 1St St # a
Hamilton, MT 59840-3016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180604001740 MT Practitioner - Qualified Speech Language Pathologist 0840551537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florence Therapy and WellnessGroup PAC ID 0547337321, 12 clinicians

Practice addresses (Care Compare)

2875 Tina Ave
Suite 2
Missoula, MT 59808-1581
Phone (406) 541-8778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Florence Therapy and Wellness CurrentSince Nov 25, 2024 Accepting new patients
Northwest Physical Therapy Inc CurrentSince Nov 25, 2024 Accepting new patients
Florence Physical Therapy Inc Past Accepting new patients

Locations

5529 Old US Highway 93
Florence, MT 59833
Phone (406) 273-4246

2875 Tina Ave
Ste 2
Missoula, MT 59808
Phone (307) 272-7346

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1073059358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 S 1ST ST # A",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598403016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 TINA AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081581",
            "telephone_number": "406-541-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINGUS",
        "first_name": "TRUDI",
        "credential": "M.S., SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MT",
            "license": "SLP-SP-LIC-6678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.