Active NPI
Cheyenne Rose Minter
- Driver
- Waverly, OH
National Provider Identifier
1104636430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- TP324888
- Practice address
- 6562 State Route 220
Waverly, OH 45690-8987 - Phone
- (513) 373-0932
- NPI assigned
- Jan 9, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | OH | ||
| Homemaker | 376J00000X | OH | ||
| Driver | 172A00000X | TP324888 | OH | Primary |
Addresses
Primary practice location
6562 State Route 220
Waverly, OH 45690-8987
Mailing address
6562 State Route 220
Waverly, OH 45690-8987
Phone (513) 373-0932
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP324888 | OH | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1104636430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6562 STATE ROUTE 220",
"city": "WAVERLY",
"state": "OH",
"postal_code": "456908987",
"telephone_number": "513-373-0932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6562 STATE ROUTE 220",
"city": "WAVERLY",
"state": "OH",
"postal_code": "456908987",
"telephone_number": "513-373-0932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINTER",
"first_name": "CHEYENNE",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-09",
"last_updated": "2025-01-09",
"certification_date": "2024-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "OH",
"license": "TP324888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waverly, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.