Jennifer Minor

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

0299632 Issued in OH

Practice address

4611 Shawnray Dr
Middletown, OH 45044-6833

Phone

(513) 292-1226

NPI assigned

Aug 10, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1174134613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 SHAWNRAY DR",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450446833",
            "telephone_number": "513-292-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 SHAWNRAY DR",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450446833",
            "telephone_number": "513-292-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINOR",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "0299632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0299632",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Direct",
            "affiliation": "N",
            "endpointDescription": "Direct",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4611 Shawnray Dr",
            "city": "Middletown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450446833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sierra Marie Miller, LPN
• Stephani Chandra Miller
• Buford Mills
• Dennis Min, D.O.
• Michelle A Minette
• Monica L Minor, LPN
• Vinod Miriyala, DDS, BDS, MPH
• Jeffrey Albert Mitchell, DDS
• Laurie Etta Mitchell, LISW, ACSW
• Percy David Mitchell Jr., MD

• Home Health Aide in Middletown, OH
• Providers in Middletown, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.