Mindy Engracia Medrana, M.S., CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2204001268 Issued in VA

Practice address

629 Phoenix Dr Ste 115
Virginia Beach, VA 23452-7392

Phone

(757) 261-4475

NPI assigned

Sep 11, 2023

Sex

Female

Sole proprietor

Yes

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

Enrolled in VA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Sentara Therapy Solutions, LLC

  • Physical Therapist
  • Norfolk, VA
  • NPI 1316590789

  Speech-Language Pathologist

  Medicare reassignment NPD
• Sentara Therapy Solutions, LLC

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1972137032

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1720865918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 12TH ST S APT 548",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222024222",
            "telephone_number": "757-597-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 PHOENIX DR STE 115",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527392",
            "telephone_number": "757-261-4475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1785 S Hayes St",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222022714",
            "country_code": "US",
            "telephone_number": "703-920-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDRANA",
        "first_name": "MINDY",
        "middle_name": "ENGRACIA",
        "credential": "M.S., CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204001268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Danel Medina
• Janna Patricia Diamse Medina, RBT
• Riya Medley
• Rosie Burnett Medley, LCSW
• Medplus LLC
• Medtruly Health LLC
• Katie S Medvec, SLP-CCC
• Elizabeth Ann Medway, MSOTR/L
• Donald C Meekings, LPC
• Julie M Megaro, NP-C, CNM

• Speech-Language Pathologist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.