Jessica Minjarez, BS

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA11856 Issued in AZ

Practice address

5001 W Dobbins Rd
Laveen, AZ 85339-9733

Phone

(602) 237-9100

NPI assigned

Sep 17, 2019

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

Bachelor of Science

State licenses

Practice roles

Locations

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.

• Laveen Elementary School District #59

  • Local Education Agency (LEA)
  • Laveen, AZ
  • NPI 1548382591
  NPD
• Piller Child Development LLC

  • Pediatric Occupational Therapist
  • Phoenix, AZ
  • NPI 1497087621
  NPD (past)

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1467002865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 W SUNLAND AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850413479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 W DOBBINS RD",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853399733",
            "telephone_number": "602-237-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINJAREZ",
        "first_name": "JESSICA",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA11856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Microdot Recovery LLC
• Stephanie Mikolajczyk, FNP
• Milestone Children'S Home
• Heather Miller, LCSW
• Ubah Mindingall
• Mission Health LLC
• Jacob Donovan Mitchell, PHARMD
• Phalina Mitchell, RN
• MJL Companies
• MJL Companies LLC

• Speech-Language Assistant in Laveen, AZ
• Providers in Laveen, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.