Active NPI
Christina Minga
- Speech-Language Pathologist
- Johnson City, TN
National Provider Identifier
1275791394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 235Z00000X
- Practice address
- 525 W Oakland Ave
Suite 205
Johnson City, TN 37604-1672 - Phone
- (423) 282-1700
- NPI assigned
- May 27, 2008
- Last updated
- Oct 9, 2015
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 235Z00000X | TN | Primary |
Addresses
Primary practice location
525 W Oakland Ave
Suite 205
Johnson City, TN 37604-1672
Mailing address
525 W Oakland Ave
Suite 205
Johnson City, TN 37604-1672
Phone (423) 282-1700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0446506 | Medicaid | TN | |
| 004978048 | Other | VA | MEDICAID |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 235Z00000X | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Talkback, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
| Talkback ABA LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Behavior Analyst
- Johnson City, TN
- NPI 1235973686
-
- Speech-Language Pathologist
- Johnson City, TN
- NPI 1194900977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444348800000",
"number": "1275791394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 W OAKLAND AVE",
"address_2": "SUITE 205",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376041672",
"telephone_number": "423-282-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 W OAKLAND AVE",
"address_2": "SUITE 205",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376041672",
"telephone_number": "423-282-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINGA",
"first_name": "CHRISTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-27",
"last_updated": "2015-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "235Z00000X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0446506",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "004978048",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.