Angela Marie Minniefield, MS CCC A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

0019921 Issued in NY

Practice address

2900 Delaware Ave
Kenmore, NY 14217-2309

Phone

(716) 871-9915

Fax

(716) 362-0472

NPI assigned

Jul 11, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Diversified Services for Occupational Therapy Physical TherGroup PAC ID 0143204917, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Diversified Services for Occupational Therapy, Physical Ther

  • Audiologist
  • Kenmore, NY
  • NPI 1447283882
  Medicare reassignment Care Compare group NPD
• Buffalo Hearing & Speech Center, Inc

  • Speech-Language Pathologist
  • Buffalo, NY
  • NPI 1891745758

  Audiologist

  Medicare reassignment NPD
• Diversified Services for Occupational Therapy, Physical Therapy, Speec

  • Physical Medicine & Rehabilitation Physician
  • Kenmore, NY
  • NPI 1417576547
  NPD
• Hearing & Speech Center of Wny

  • Speech-Language Pathologist
  • Tonawanda, NY
  • NPI 1336237007

  Audiologist

  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1083649131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 DELAWARE AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172309",
            "telephone_number": "716-871-9915",
            "fax_number": "716-362-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 DELAWARE AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172309",
            "telephone_number": "716-871-9915",
            "fax_number": "716-362-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINNIEFIELD",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MS CCC A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "0019921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000576139001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH UNIVER",
            "identifier": "00011175701",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon L Miller, NP
• Andrea Rene Milleville, LMSW
• Allison Mills
• Mind Journey Therapy LCSW PLLC
• Frank Charles Mineo, R.PH.
• Angela Moffett, OTR/L
• Nicholas Mogavero Jr.
• Monique Molina, OTR/L
• Kevin Douglas Moon, OTR/L
• Danie Ann Moreton, RN

• Audiologist in Kenmore, NY
• Providers in Kenmore, NY by specialty
• Audiologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.