Individual provider Active NPI

Minako May, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Missoula, MT
National Provider Identifier
1831540566
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-SP-TMP-5856 Issued in MT
Practice address
32 Campus Dr
Missoula, MT 59812-2113
Phone
(406) 243-2405
Fax
(406) 243-6678
NPI assigned
Jun 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP-SP-TMP-5856 MT Primary

Addresses

Primary practice location

32 Campus Dr
Missoula, MT 59812-2113

Mailing address

2358 Classic CT
Missoula, MT 59801-1354
Phone (406) 546-6761

Other practice location 1

2331 S 7th St W
Missoula, MT 59801-2113
Phone (406) 546-1103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP-SP-TMP-5856MTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stack Speech Therapy Group Speech-Language Pathologist PastSince Jun 26, 2017 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1831540566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2358 CLASSIC CT",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598011354",
            "telephone_number": "406-546-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 CAMPUS DR",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598122113",
            "telephone_number": "406-243-2405",
            "fax_number": "406-243-6678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2331 S 7th St W",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598012113",
            "country_code": "US",
            "telephone_number": "406-546-1103",
            "fax_number": "888-949-1946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAY",
        "first_name": "MINAKO",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MT",
            "license": "SLP-SP-TMP-5856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.