Individual provider Active NPI

Kathryn Minikus, APN

  • Acute Care Nurse Practitioner
  • Flemington, NJ
National Provider Identifier
1336607134
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
26NJ00909500 Issued in NJ
Practice address
200 Hwy 31
Flemington, NJ 08822-5812
Phone
(908) 237-3405
NPI assigned
Mar 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 26NJ00909500 NJ Primary

Addresses

Primary practice location

200 Hwy 31
Flemington, NJ 08822-5812

Mailing address

11 Valley View Dr
Flemington, NJ 08822-4507
Phone (908) 642-3803

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
26NJ00909500NJMDAcute Care Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: kminikus@ahvi-nj.directbygreenway.com

NPI Registry JSON

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1336607134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 VALLEY VIEW DR",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224507",
            "telephone_number": "908-642-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HWY 31",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225812",
            "telephone_number": "908-237-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINIKUS",
        "first_name": "KATHRYN",
        "name_prefix": "Miss",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ00909500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.