Wendy M. J. Minor

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

01061978 Issued in WA

Practice address

1001 W. Clark Street
Connell, WA 99326-0829

Phone

(509) 234-4381

NPI assigned

Jan 10, 2013

Last updated

Jan 10, 2013By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1831436849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829",
            "city": "CONNELL",
            "state": "WA",
            "postal_code": "993260829",
            "telephone_number": "509-234-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W. CLARK STREET",
            "city": "CONNELL",
            "state": "WA",
            "postal_code": "993260829",
            "telephone_number": "509-234-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINOR",
        "first_name": "WENDY",
        "middle_name": "M. J.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-10",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "2555156B",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "01061978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDUCATIONAL STAFF ASSOCIATE CERTIFICATION",
            "identifier": "255156B",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH AND HERING ASSOCIATION",
            "identifier": "01061978",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaeniffer Ang Kaiser, ARNP
• Shelbie Louise Karl, CCC-SLP
• Kimberly Elaine Kennedy, BSN, RN
• Marika, Inc Dba the Connell Pharmacy
• Kristi McCall, RN, BSN
• Joel R Mundall, MD
• Jon Marcus Raymond Mundall, M.D.
• Jonathan Neau, PA-C
• Jeffrey C Nelson, RN
• Jessica Ann Nelson, LPN4

• Speech-Language Pathologist in Connell, WA
• Providers in Connell, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.