Michelle Minemyer, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN300460L Issued in PA

Practice address

407 Central Ave
Johnstown, PA 15902-2502

Phone

(814) 536-7596

NPI assigned

Nov 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Rite Aid of Pennsylvania LLC

  • Community/Retail Pharmacy
  • Clearfield, PA
  • NPI 1508431081
  NPD (past)
• Rite Aid of Pennsylvania LLC

  • Community/Retail Pharmacy
  • Johnstown, PA
  • NPI 1689764607
  NPD (past)

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1043976699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 CENTRAL AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159022502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 CENTRAL AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159022502",
            "telephone_number": "814-536-7596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINEMYER",
        "first_name": "MICHELLE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN300460L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Millward, MD
• Kristi Millward, DPT
• Roxanne Theresa Miloro, MSW
• Karly Milton, DO
• Gary A Minchau, DMD
• Rebecca Sue Minnick
• Miscoe Chiropractic Clinic, P.C.
• Frederic J, Miscoe II, D.C.
• Candice Marie Mishler, LCSW
• Meredith Mishler, DO

• Registered Nurse in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.