Active NPI
Shai Lyn Menina, MED.
- Speech-Language Assistant
- Slidell, LA
National Provider Identifier
1134394083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 3963A
- Practice address
- 429 Drury LN
Slidell, LA 70460-8445 - Phone
- (985) 781-4056
- Fax
- (985) 646-1184
- NPI assigned
- Apr 22, 2008
- Reactivated
- Sep 22, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 3963A | LA | Primary |
Addresses
Primary practice location
429 Drury LN
Slidell, LA 70460-8445
Mailing address
429 Drury LN
Slidell, LA 70460-8445
Phone (985) 781-4056
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)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3963A | LA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695340800000",
"number": "1134394083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 DRURY LN",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704608445",
"telephone_number": "985-781-4056",
"fax_number": "985-646-1184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "429 DRURY LN",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704608445",
"telephone_number": "985-781-4056",
"fax_number": "985-646-1184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENINA",
"first_name": "SHAI",
"middle_name": "LYN",
"name_prefix": "Ms.",
"credential": "MED.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-22",
"last_updated": "2023-09-22",
"certification_date": "2023-06-05",
"deactivation_date": "2023-06-05",
"reactivation_date": "2023-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "LA",
"license": "3963A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.