Vardrine Janelle Minott

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

323746 Issued in NY

Practice address

21111 Northern Blvd
Bayside, NY 11361-3241

Phone

(212) 273-6272

NPI assigned

Jul 2, 2021

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

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": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1265003172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 ALBEMARLE RD APT A11",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112268010",
            "telephone_number": "718-710-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21111 NORTHERN BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613241",
            "telephone_number": "212-273-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINOTT",
        "first_name": "VARDRINE",
        "middle_name": "JANELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "323746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Miller
• Holly Marie Mills, R.D., CDN
• Milton P Merritt DDS PC
• Mindspace Mental Health Counseling PLLC
• Tracy Miner, MS ED
• Miracle Acupuncture P.C.
• Anna Maria Miriello, M.S.,CCC-SLP/TSLD
• Amrita Misir, PHARM D
• Sangita Misra, RN
• April Mittenthal, MSED

• Licensed Practical Nurse in Bayside, NY
• Providers in Bayside, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.