Active NPI
Molly Elizabeth McMinn, MA CCC-SLP
- Speech-Language Pathologist
- New Port Richey, FL
National Provider Identifier
1851133151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA21528
- Practice address
- 5647 Gulf Dr
New Port Richey, FL 34652-4019 - Phone
- (727) 645-6542
- NPI assigned
- Jun 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA21528 | FL | Primary |
Addresses
Primary practice location
5647 Gulf Dr
New Port Richey, FL 34652-4019
Mailing address
17102 Hackberry SQ Apt 109
Land O Lakes, FL 34638-6330
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA21528 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayside Speech Therapy, Inc. | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1700 N McMullen Booth Rd
Ste D4
Clearwater, FL 33759
Phone (727) 967-3025
5647 Gulf Dr
New Port Richey, FL 34652
Phone (727) 645-6542
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.
-
- Clinic/Center
- New Port Richey, FL
- NPI 1578954962
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1851133151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17102 HACKBERRY SQ APT 109",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346386330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5647 GULF DR",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346524019",
"telephone_number": "727-645-6542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMINN",
"first_name": "MOLLY",
"middle_name": "ELIZABETH",
"credential": "MA CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-10",
"last_updated": "2024-06-10",
"certification_date": "2024-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA21528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.