Minnesota Speech Specialists, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

MINNESOTA SPEECH SPECIALISTS, LLC

Practice address

2640 Windsor LN
Woodbury, MN 55125-2792

Phone

(651) 262-9639

NPI assigned

Jun 14, 2015

Organization subpart

No

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

Authorized official

Name

Kelly MingusNPI 1063714129

Title

Director/Owner

Phone

(651) 262-9639

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly May Mingus, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Franklin, TN
  • NPI 1063714129
  NPD (past) Authorized official

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

{
    "created_epoch": "1434240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434240000000",
    "number": "1215318480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 WINDSOR LN",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252792",
            "telephone_number": "651-262-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 WINDSOR LN",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252792",
            "telephone_number": "651-262-9639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA SPEECH SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-14",
        "last_updated": "2015-06-14",
        "status": "A",
        "authorized_official_last_name": "MINGUS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "651-262-9639"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shahla Mirbaghri
• Jacquelyn Faith Mirr, MD

• Speech-Language Pathologist in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2015; 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.