Active NPI
Kate F Minnick, RPA-C
- Physician Assistant
- Depew, NY
National Provider Identifier
1215263561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 013667
- Practice address
- 4893 Transit Rd
Depew, NY 14043-4698 - Phone
- (716) 608-7040
- Fax
- (716) 608-7065
- NPI assigned
- Oct 21, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 013667 | NY | Primary |
Addresses
Primary practice location
4893 Transit Rd
Depew, NY 14043-4698
Mailing address
4893 Transit Rd
Depew, NY 14043-4698
Phone (716) 608-7040
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013667 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benardot Pediatrics, PLLC | Past | Accepting new patients |
Interoperability endpoints
- kateminnick@benardotpediatrics.medentdirect.com
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.
-
- Specialist
- Malone, NY
- NPI 1730122359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256083200000",
"number": "1215263561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4893 TRANSIT RD",
"city": "DEPEW",
"state": "NY",
"postal_code": "140434698",
"telephone_number": "716-608-7040",
"fax_number": "716-608-7065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4893 TRANSIT RD",
"city": "DEPEW",
"state": "NY",
"postal_code": "140434698",
"telephone_number": "716-608-7040",
"fax_number": "716-608-7065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINNICK",
"first_name": "KATE",
"middle_name": "F",
"credential": "RPA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-21",
"last_updated": "2009-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "013667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Depew, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.