Minardi Surgical PLLC

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

Legal business name

MINARDI SURGICAL PLLC

Practice address

139 Prairie LN
Kelso, WA 98626-5300

Phone

(360) 431-9113

NPI assigned

Mar 20, 2026

Organization subpart

No

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

Authorized official

Name

Jessie Minardi, MN, RN, RNFANPI 1437003118

Title

Owner

Phone

(360) 431-9113

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.

• Jessie J Minardi, MSN, RNFA

  • Registered Nurse First Assistant
  • Kelso, WA
  • NPI 1437003118
  NPD Authorized official

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

{
    "created_epoch": "1773964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1346198587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 PRAIRIE LN",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986265300",
            "telephone_number": "360-431-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 PRAIRIE LN",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986265300",
            "telephone_number": "360-431-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINARDI SURGICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-20",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "MINARDI",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-431-9113",
        "authorized_official_credential": "MN, RN, RNFA"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheri Larae McKernan, LMP
• Kathryn Ann McNamara, OT
• John Duffin McShane II, MA
• Nikita Dawn Mendez, CDPT
• Scott C Miller
• Jessie J Minardi, MSN, RNFA
• Mirror Images of Beauty Inc
• Rama Mitchell Jr., SUDP
• Brenda Moore
• Maya Rene Moore, LICSW

• Registered Nurse First Assistant in Kelso, WA
• Providers in Kelso, WA by specialty
• Registered Nurse First Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.