Active NPI
Nina G Andrews, MS-CCC
- Speech-Language Pathologist
- Grand Terrace, CA
National Provider Identifier
1881105641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14283
- Practice address
- 22365 Barton Rd
Grand Terrace, CA 92313-5015 - Phone
- (909) 824-2899
- NPI assigned
- Oct 19, 2017
- Last updated
- Oct 19, 2017
- 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 | 14283 | CA | Primary |
Addresses
Primary practice location
22365 Barton Rd
Grand Terrace, CA 92313-5015
Mailing address
1221 Mohave Dr
Colton, CA 92324-4798
Phone (909) 913-7549
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14283 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508371200000",
"number": "1881105641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 MOHAVE DR",
"city": "COLTON",
"state": "CA",
"postal_code": "923244798",
"telephone_number": "909-913-7549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22365 BARTON RD",
"city": "GRAND TERRACE",
"state": "CA",
"postal_code": "923135015",
"telephone_number": "909-824-2899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "NINA",
"middle_name": "G",
"credential": "MS-CCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-19",
"last_updated": "2017-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "14283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Terrace, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.