Elisa Marie Minchin, DNP, RN

Primary specialty

College Health Registered NurseTaxonomy code 163WC1400X

License

4704406494 Issued in MI

Practice address

1355 Bogue St
East Lansing, MI 48824-6207

Phone

(303) 249-2391

NPI assigned

Dec 19, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1033927256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 JASMINE DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489177745",
            "telephone_number": "303-249-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 BOGUE ST",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488246207",
            "telephone_number": "303-249-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINCHIN",
        "first_name": "ELISA",
        "middle_name": "MARIE",
        "credential": "DNP, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704406494",
            "primary": false
        },
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "MI",
            "license": "4704406494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Grace Militzer
• Jennifer Millbauer, LLC
• Miller Home Care Services Inc. (BrightStar Care of East Lansing)
• Kenneth Scott Miller, LMSW
• Molly Miller
• Mind and Body Counseling PLLC
• Mind Matters Counseling Services PLLC
• Mindful Movement & Physical Therapy, L.L.C.
• Barry Mintzes, PHD
• Stephanie Kristine Mireles, MASSAGE THERAPIST

• College Health Registered Nurse in East Lansing, MI
• Providers in East Lansing, MI by specialty
• College Health Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.

Verify at the official NPI Registry.