Individual provider Active NPI

Tricia Briede Minton, M.D.

  • Pediatrics Physician
  • Cincinnati, OH
National Provider Identifier
1164885539
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.131106 Issued in OH
Practice address
4371 Ferguson Dr
Cincinnati, OH 45245-1668
Phone
(513) 752-3650
Fax
(513) 752-3387
NPI assigned
Apr 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35.131106 OH
Child & Adolescent Psychiatry Physician 2084P0804X 35.131106 OH
Pediatrics Physician 208000000X 35.131106 OH Primary

Addresses

Primary practice location

4371 Ferguson Dr
Cincinnati, OH 45245-1668

Mailing address

4371 Ferguson Dr
Cincinnati, OH 45245-1668
Phone (513) 752-3650

Other identifiers 1

IdentifierTypeStateIssuer
0181188MedicaidOH

Other names 1

  • Tricia Briede McCutchan Former name

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.131106OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Associates of Mt. Carmel, Inc. Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1164885539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4371 FERGUSON DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451668",
            "telephone_number": "513-752-3650",
            "fax_number": "513-752-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4371 FERGUSON DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451668",
            "telephone_number": "513-752-3650",
            "fax_number": "513-752-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTON",
        "first_name": "TRICIA",
        "middle_name": "BRIEDE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-01",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.131106",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "35.131106",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.131106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0181188",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRICIA",
            "last_name": "MCCUTCHAN",
            "middle_name": "BRIEDE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.