MINDY ENGRACIA MEDRANA M.S., CF-SLP
NPI 1720865918
Speech-Language Pathologist in Virginia Beach, VA

Q: What is Mindy Medrana's NPI number?

The NPI number for Mindy Medrana is 1720865918. It was assigned to this individual provider in the NPPES registry on September 11, 2023.

Q: What is Mindy Medrana's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Mindy Medrana was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 11, 2023

629 PHOENIX DR STE 115, VIRGINIA BEACH, VA 23452(757) 261-4475 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mindy Engracia Medrana M.s., Cf-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINDY ENGRACIA MEDRANA M.S., CF-SLP (NPI 1720865918) is an individual speech-language pathologist provider in Virginia Beach, Virginia, licensed in Virginia (2204001268) and active in the NPI registry since September 2023. She maintains a secondary practice location in Arlington.

NPPES Registry Identity

NPI1720865918

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMINDY ENGRACIA MEDRANACredential: M.S., CF-SLP

Location Address629 PHOENIX DR STE 115Virginia Beach, VA 23452-7392

Mailing Address520 12th St S Apt 548Arlington, VA 22202-4222 · (757) 597-3115

Phone(757) 261-4475

Sole ProprietorYes

Enumeration DateSeptember 11, 2023

Last NPPES UpdateSeptember 11, 2024

NPPES CertifiedSeptember 11, 2024

✔ NPI 1720865918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in VA · 2204001268

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

629 PHOENIX DR STE 115, Virginia Beach, VA 23452

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Secondary Practice Location 1

Location 11785 S Hayes StArlington, VA 22202-2714 · Phone (703) 920-5700

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mindy Engracia Medrana M.s., Cf-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Mindy Medrana reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sentara Therapy Solutions, LLC

7.9 mi

Physical Therapist

824 N MILITARY HWY STE 100
Norfolk, VA 23502

Reassigned Medicare billing, Virginia enrollment
88 clinicians in this Medicare group

NPI 1316590789 (757) 252-2900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAYLOR ANN JNET GREENE

Behavior Technician