Kacie Mintz, FNP-C, IBCLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

231237 Issued in NC

Practice address

50 Miller St
Suite G
Winston Salem, NC 27104-4205

Phone

(336) 718-7660

NPI assigned

Feb 6, 2017

Last updated

Apr 5, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kmintz430988@direct.novanthealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lollies Lactation

  • Nurse Practitioner
  • Winston Salem, NC
  • NPI 1023903796
  NPD Authorized official
• Lollies Lactation

  • Nurse Practitioner
  • Winston Salem, NC
  • NPI 1558299685
  NPD Authorized official

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1114465531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 WESTOVER DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033646",
            "telephone_number": "336-816-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MILLER ST",
            "address_2": "SUITE G",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271044205",
            "telephone_number": "336-718-7660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2323 Westover Dr",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271033646",
            "country_code": "US",
            "telephone_number": "336-816-9701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINTZ",
        "first_name": "KACIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-06",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "231237",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "231237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmintz430988@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "50 Miller St",
            "address_2": "Suite G",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271044205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John Sherrill Mingo, PA-C
• David Francis Minor, P.A.-C
• Lauren E Minta, MS, CCC-SLP
• Akiva Mintz, MD
• Joseph William Mintz, PA-C
• Berna Jean Besana Mirafuente, AGNP
• Jennifer Dennis Miramontes, FNP
• Fernando Manuel Miranda, LCMHC-A
• Luisa Elena Miranda
• Rafael Angel Miranda, MD

• Family Nurse Practitioner in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.