Individual provider Active NPI

Julia Kathleen Minogue, RN, RWP

  • Nutrition Support Registered Nurse
  • Manchester, MA
National Provider Identifier
1073225470
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Support Registered NurseTaxonomy code 163WN1003X
License
RN2320715 Issued in MA
Practice address
5 Gales Point Rd
Manchester, MA 01944-1443
Phone
(617) 571-7945
NPI assigned
Dec 16, 2022
Last updated
Dec 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Support Registered Nurse 163WN1003X RN2320715 MA Primary

Addresses

Primary practice location

5 Gales Point Rd
Manchester, MA 01944-1443

Mailing address

5 Gales Point Rd
Manchester, MA 01944-1443
Phone (617) 571-7945

Other practice location 1

8816 Silverberry Way SE Unit A
Albuquerque, NM 87116-3219
Phone (617) 571-7945

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL https://www.evexiadiagnostics.com Direct
Other URL https://www.oxforddiagnosticlaboratories.eu Direct

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN2320715MAMDNutrition Support Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1073225470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 GALES POINT RD",
            "city": "MANCHESTER",
            "state": "MA",
            "postal_code": "019441443",
            "telephone_number": "617-571-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 GALES POINT RD",
            "city": "MANCHESTER",
            "state": "MA",
            "postal_code": "019441443",
            "telephone_number": "617-571-7945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8816 Silverberry Way SE Unit A",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871163219",
            "country_code": "US",
            "telephone_number": "617-571-7945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINOGUE",
        "first_name": "JULIA",
        "middle_name": "KATHLEEN",
        "credential": "RN, RWP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-16",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN1003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nutrition Support",
            "state": "MA",
            "license": "RN2320715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.evexiadiagnostics.com",
            "affiliation": "N",
            "endpointDescription": "Direct Testing Portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5 Gales Point Rd",
            "city": "Manchester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019441443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.oxforddiagnosticlaboratories.eu",
            "affiliation": "N",
            "endpointDescription": "Direct Testing Portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5 Gales Point Rd",
            "city": "Manchester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019441443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.