Kathleen Mary Minyard, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

5747401 Issued in NY

Practice address

430 Niagara Street
Act Program
Buffalo, NY 14201

Phone

(716) 856-2587

Fax

(716) 856-2608

NPI assigned

May 30, 2008

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212105600000",
    "number": "1164680666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 FRANKLIN STREET",
            "address_2": "LAKE SHORE BEHAVIORAL HEALTH",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14202",
            "telephone_number": "716-842-0440",
            "fax_number": "716-842-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 NIAGARA STREET",
            "address_2": "ACT PROGRAM",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14201",
            "telephone_number": "716-856-2587",
            "fax_number": "716-856-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINYARD",
        "first_name": "KATHLEEN",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "5747401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "5747401",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhonda Mingo
• Parveen Kaur Minhas, AGPCNP
• Samna Minhas, DDS
• Morgan Elizabeth Ministero, M.S.ED., CCC/SLP
• Brandy Leigh Minor, PHYSICIAN ASSISTANT
• Daniel Miori, PA
• Joyce G. Miori, F.N.P.
• Corinne Miosi, LMSW
• Jehad A. Miqdadi, M.D.
• Ali Mir, M.B.B.S

• Registered Nurse in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.