Candice D Minton

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

2435 Jacksboro Pike
La Follette, TN 37766-2910

Phone

(423) 566-8283

NPI assigned

Dec 14, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grace Rehabilitation Center, Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • La Follette, TN
  • NPI 1659485936
  NPD (past)

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1194437855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 JACKSBORO PIKE",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377662910",
            "telephone_number": "423-566-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 JACKSBORO PIKE",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377662910",
            "telephone_number": "423-566-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTON",
        "first_name": "CANDICE",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Transportation LLC
• Tammy Mellon, RPT
• Mercy Cardiology
• Susan Rebecca Mills, CPNP
• Julie Camille Millsaps, SPEECH PATHOLOGIST
• Sheila Morehead, CFNP
• Mary Morris, CFNP
• Mountain Home Vamc
• Tammy Jane Mozingo, P.T.
• Stephanie Mutka

• Speech-Language Pathologist in La Follette, TN
• Providers in La Follette, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.