Angela J Mennefield, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0000002308 Issued in TN

Practice address

6809 Century Oaks Dr
Cordova, TN 38018-8796

Phone

(901) 488-0977

NPI assigned

Jan 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Credentials

Master of Arts

State licenses

Practice roles

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

• Shelby County Board of Education

  • Local Education Agency (LEA)
  • Memphis, TN
  • NPI 1720496425
  NPD (past)

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225186414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6809 CENTURY OAKS DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380188796",
            "telephone_number": "901-488-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6809 CENTURY OAKS DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380188796",
            "telephone_number": "901-488-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENNEFIELD",
        "first_name": "ANGELA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "0000002308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Memphis Speech-Language Pathology PLLC
• Memphis Spine and Sport
• Memphis Spine and Sport, PLLC
• Memphis Urgent Care #2 LLC (Urgent Care of Saint Francis - Cordova)
• Memphis Urgent Care #2 LLC (MedPost Urgent Care - Cordova)
• Yamini Menon, MD
• Methodist Healthcare Community Care Associates
• Margaret Alyson Meyer, PT, DPT
• Michael E Steuer, MD, PC
• Janet Michael

• Speech-Language Pathologist in Cordova, TN
• Providers in Cordova, 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 Jul 8, 2007; 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.