Gina M Minga, APRN, ACCNS-BC

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

209-004769 Issued in IL

Practice address

17800 Kedzie Ave
Hazel Crest, IL 60429-2029

Phone

(708) 213-3288

Fax

(708) 213-2999

NPI assigned

Mar 12, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Gina M Spiekhout Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1134460447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 HAWTHORNE LN",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604221514",
            "telephone_number": "708-213-3288",
            "fax_number": "708-213-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17800 KEDZIE AVE",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292029",
            "telephone_number": "708-213-3288",
            "fax_number": "708-213-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINGA",
        "first_name": "GINA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "APRN, ACCNS-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-12",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "IL",
            "license": "209-004769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "SPIEKHOUT",
            "middle_name": "M",
            "prefix": "MISS",
            "credential": "APRN, ACCNS-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Midwest Family and Community Resources PC
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• Melanie Doreen Miller, M.A.
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• Gerald J Mingolelli, MD
• Mariam Tariq Mir, M.D.
• Satya M Mishra, MD
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• Elise S Mooney, DPT

• Adult Health Clinical Nurse Specialist in Hazel Crest, IL
• Providers in Hazel Crest, IL by specialty
• Adult Health Clinical Nurse Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.