Individual provider Active NPI

Candace Rika Minami, CCC-SLP

  • Speech-Language Pathologist
  • Fountain Hills, AZ
National Provider Identifier
1235548587
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP8775 Issued in AZ
Practice address
17100 E Shea Blvd Ste 600
Fountain Hills, AZ 85268-6663
Phone
(480) 837-4565
NPI assigned
Aug 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SLPA8775 AZ
Speech-Language Pathologist 235Z00000X SLP8775 AZ Primary

Addresses

Primary practice location

17100 E Shea Blvd Ste 600
Fountain Hills, AZ 85268-6663

Mailing address

2032 E Windsong Dr
Phoenix, AZ 85048-8124
Phone (423) 258-2031

Other practice location 1

550 S Ironwood Dr
Apache Junction, AZ 85120-5002
Phone (423) 258-2031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200807000514 AZ Practitioner - Qualified Speech Language Pathologist 7810312865 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SLPA8775AZMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Theraplay4Kidz, LLC Behavior Analyst CurrentSince May 5, 2020 Accepting new patients

Locations

21045 N 9th Pl
Ste 204
Phoenix, AZ 85024
Phone (480) 548-2601

530 E McDowell Rd
Ste 107495
Phoenix, AZ 85004

9525 E Doubletree Ranch Rd
Ste 101
Scottsdale, AZ 85258
Phone (480) 488-3946

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1235548587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 E WINDSONG DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850488124",
            "telephone_number": "423-258-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 E SHEA BLVD STE 600",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852686663",
            "telephone_number": "480-837-4565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 S Ironwood Dr",
            "address_purpose": "LOCATION",
            "city": "Apache Junction",
            "state": "AZ",
            "postal_code": "851205002",
            "country_code": "US",
            "telephone_number": "423-258-2031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINAMI",
        "first_name": "CANDACE",
        "middle_name": "RIKA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-11",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA8775",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP8775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hills, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.