Active NPI
Courtney Minors
- Registered Dietitian
- Wellington, FL
National Provider Identifier
1154796662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND6751
- Practice address
- 1689 The 12TH Fairway
Wellington, FL 33414-5933 - Phone
- (561) 379-5278
- NPI assigned
- Dec 9, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND6751 | FL | Primary |
Addresses
Primary practice location
1689 The 12TH Fairway
Wellington, FL 33414-5933
Mailing address
1689 The 12TH Fairway
Wellington, FL 33414-5933
Phone (561) 379-5278
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 |
|---|---|---|---|
| ND6751 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449619200000",
"number": "1154796662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1689 THE 12TH FAIRWAY",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334145933",
"telephone_number": "561-379-5278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1689 THE 12TH FAIRWAY",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334145933",
"telephone_number": "561-379-5278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINORS",
"first_name": "COURTNEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-09",
"last_updated": "2015-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND6751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.