Camilla Minus

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

5112 La Salle St Apt a
Fort Pierce, FL 34951-5035

Phone

(772) 205-7028

NPI assigned

Jan 27, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

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": "1390780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1356764369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 651521",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329651521",
            "telephone_number": "772-205-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5112 LA SALLE ST APT A",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349515035",
            "telephone_number": "772-205-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINUS",
        "first_name": "CAMILLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-27",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "FL",
            "license": "CNA124830",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "CNA124830",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "RN9178180",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Delva Miller, MSHS
• Taefa Millsjohnson
• Mind Resolutions Clinical Services, LLC
• Mindful Connections Behavioral Therapy LLC
• Christopher Scott Mings, PA, ATC
• Beverly Esmeralda Miranda
• Jose Miro
• Sulaiman Mirpour, MD
• Sabbir Mirza, DO
• Takeisha Mitchell-Ingram

• Community Health Worker in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Community Health Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.