Active NPI
Suzanne Minshew
- Community Health Worker
- Redmond, OR
National Provider Identifier
1205719119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 3550 SW Canal Blvd
Redmond, OR 97756-8947 - Phone
- (541) 948-9419
- NPI assigned
- Jul 28, 2025
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
3550 SW Canal Blvd
Redmond, OR 97756-8947
Mailing address
8906 SW Shad Rd
Terrebonne, OR 97760-7802
Phone (541) 948-9419
Other practice location 1
470 NE Oak St
Madras, OR 97741-2201
Phone (541) 948-9419
Other practice location 2
8906 SW Shad Rd
Terrebonne, OR 97760-7802
Phone (541) 948-9419
Other practice location 3
572 NE Oak St
Madras, OR 97741-2213
Phone (541) 948-9419
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753660800000",
"number": "1205719119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8906 SW SHAD RD",
"city": "TERREBONNE",
"state": "OR",
"postal_code": "977607802",
"telephone_number": "541-948-9419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 SW CANAL BLVD",
"city": "REDMOND",
"state": "OR",
"postal_code": "977568947",
"telephone_number": "541-948-9419"
}
],
"practiceLocations": [
{
"address_1": "470 NE Oak St",
"address_purpose": "LOCATION",
"city": "Madras",
"state": "OR",
"postal_code": "977412201",
"country_code": "US",
"telephone_number": "541-948-9419",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8906 SW Shad Rd",
"address_purpose": "LOCATION",
"city": "Terrebonne",
"state": "OR",
"postal_code": "977607802",
"country_code": "US",
"telephone_number": "541-948-9419",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "572 NE Oak St",
"address_purpose": "LOCATION",
"city": "Madras",
"state": "OR",
"postal_code": "977412213",
"country_code": "US",
"telephone_number": "541-948-9419",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MINSHEW",
"first_name": "SUZANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-28",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.