Individual provider Active NPI

Catherine Kyei Minta, LPN

  • Licensed Practical Nurse
  • Fairfield, OH
National Provider Identifier
1316258155
Registry record updated Jun 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN- 123035 Issued in OH
Practice address
22 Merlin Dr
Apt. D
Fairfield, OH 45014-7162
Phone
(513) 829-2404
NPI assigned
Jun 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN- 123035 OH Primary

Addresses

Primary practice location

22 Merlin Dr
Apt. D
Fairfield, OH 45014-7162

Mailing address

22 Merlin Dr
Apt. D
Fairfield, OH 45014-7162
Phone (513) 829-2404

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

State licenses

LicenseStateTypeSpecialty
PN- 123035OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1277510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277510400000",
    "number": "1316258155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MERLIN DR",
            "address_2": "APT. D",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450147162",
            "telephone_number": "513-829-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MERLIN DR",
            "address_2": "APT. D",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450147162",
            "telephone_number": "513-829-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTA",
        "first_name": "CATHERINE",
        "middle_name": "KYEI",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-26",
        "last_updated": "2010-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN- 123035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2010; 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.