Andrea Elisa Medina-Monk, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL010225 Issued in PA

Practice address

366 Strouse Ave
State College, PA 16803-1633

Phone

(814) 317-6665

NPI assigned

Jan 10, 2011

Last updated

Feb 16, 2016By the provider in NPPES

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

Master of Science

State licenses

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1689978330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 STROUSE AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168031633",
            "telephone_number": "814-317-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 STROUSE AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168031633",
            "telephone_number": "814-317-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA-MONK",
        "first_name": "ANDREA",
        "middle_name": "ELISA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL010225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dylan McNeill
• Marjorie Mearkle, IBCLC
• Medexpress Urgent Care, PC - Pennsylvania (MedExpress Urgent Care - State College)
• Medi Home Health Agency, Inc. (Medi Home Hospice)
• Medi Home Health Agency, Inc. (Medi Home Health Agency)
• Brianne Beth Meek, RD
• Laurie Meguro, PSYD
• Madison Lizabeth Melicher
• Brent F. Melius, P.T.
• Robert A. Mentyka, M.D.

• Speech-Language Pathologist in State College, PA
• Providers in State College, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.