Adrienne Fox-Miniman, MS, CRNP

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

UP001804D Issued in PA

Practice address

25 Llanfair Cir
Ardmore, PA 19003-3342

Phone

(610) 649-6769

Fax

(610) 649-4190

NPI assigned

Aug 20, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

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.

• Senior Behavioral Healthcare Group Inc

  • Cognitive & Behavioral Psychologist
  • Ardmore, PA
  • NPI 1497914089
  NPD (past)
• Senior Behavioral Healthcare Group, Inc

  • Cognitive & Behavioral Psychologist
  • Ardmore, PA
  • NPI 1013930221
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184739377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HENLEY DR",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193422611",
            "telephone_number": "610-399-6668",
            "fax_number": "610-892-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 LLANFAIR CIR",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190033342",
            "telephone_number": "610-649-6769",
            "fax_number": "610-649-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX-MINIMAN",
        "first_name": "ADRIENNE",
        "credential": "MS, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "UP001804D",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Kennedy Finkle, M.D.
• Nicole Quigley Finnegan, OTR/L
• Gabriella Fiore, LSW
• Timothy Patrick Foley, PH.D.
• Arlene Foreman, M.S.
• Elise Marie Galbo, COTA/L
• Richard Gallagher
• Tara Gannon, DPT
• Jasmine Garnett
• Gholston Trust LLC

• Licensed Practical Nurse in Ardmore, PA
• Providers in Ardmore, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.