Shay Brooke McMinn, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

112307 Issued in TX

Practice address

7801 N Lamar Blvd Ste A114
Austin, TX 78752-1049

Phone

(512) 646-4673

Fax

(512) 729-0320

NPI assigned

Jul 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• PDS Therapy Inc

  • Physical Therapy Clinic/Center
  • Las Vegas, NV
  • NPI 1851557771
  NPD (past)

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1245439447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 N LAMAR BLVD STE A114",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787521049",
            "telephone_number": "512-646-4673",
            "fax_number": "512-729-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 N LAMAR BLVD STE A114",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787521049",
            "telephone_number": "512-646-4673",
            "fax_number": "512-729-0320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7065 W Ann Rd # 130-407",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891303865",
            "country_code": "US",
            "telephone_number": "702-448-4200",
            "fax_number": "702-448-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMINN",
        "first_name": "SHAY",
        "middle_name": "BROOKE",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2022-04-08",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-1100",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP-10611",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "112307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Lorene McMillan, PHD
• Phillis McMiller
• Heather McMillion, MS, RD, LD
• Elan McMinn
• Kelsey McMinn
• Thomas R McMinn, MD
• Antoinette McMonagle, RD
• Arlis McMullan
• Lauren McMullan, OTR
• Shelli Dean McMurray, P.T.A.

• Speech-Language Pathologist in Austin, TX
• Providers in Austin, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.