Active NPI
Isabelle Minnich
- Speech-Language Pathologist
- Redkey, IN
National Provider Identifier
1104516244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 22008844A
- Practice address
- 9931 W 400 S
Redkey, IN 47373-9220 - Phone
- (260) 251-0709
- NPI assigned
- May 11, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | IN | ||
| Speech-Language Pathologist | 235Z00000X | 22008844A | IN | Primary |
Addresses
Primary practice location
9931 W 400 S
Redkey, IN 47373-9220
Mailing address
9931 W 400 S
Redkey, IN 47373-9220
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 |
|---|---|---|---|
| 22008844A | IN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1104516244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9931 W 400 S",
"city": "REDKEY",
"state": "IN",
"postal_code": "473739220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9931 W 400 S",
"city": "REDKEY",
"state": "IN",
"postal_code": "473739220",
"telephone_number": "260-251-0709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINNICH",
"first_name": "ISABELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-11",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "22008844A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redkey, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.