Individual provider Active NPI

Deanna Minor, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Woodlawn, TN
National Provider Identifier
1376912386
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
LA224383 Issued in LA
Practice address
2074 Dunbar Rd
Woodlawn, TN 37191-9276
Phone
(931) 272-4275
Fax
(931) 208-3356
NPI assigned
Sep 20, 2015
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN0992077 CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X LA224383 LA Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 0169444 CO

Addresses

Primary practice location

2074 Dunbar Rd
Woodlawn, TN 37191-9276

Mailing address

2074 Dunbar Rd
Woodlawn, TN 37191-9276
Phone (931) 272-4275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, LA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160111000616 CO Practitioner - Nurse Practitioner 7416259239
I20230404002833 LA Practitioner - Nurse Practitioner 7416259239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1006 Highland Ave
Shreveport, LA 71101-4103
Phone (318) 678-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0169444COMDPsychiatric/Mental Health Registered Nurse
APN0992077COMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brentwood Acquisition-Shreveport Inc. CurrentSince Dec 1, 2022 Accepting new patients
Rocky Mountain Neuropsychiatric Associates, P.C. CurrentSince Jul 17, 2022 Accepting new patients
Brentwood Acquisition-Shreveport Inc. CurrentSince Dec 1, 2022 Accepting new patients

Locations

6160 Tutt Blvd
Ste 100
Colorado Springs, CO 80923
Phone (719) 444-8484

1006 Highland Ave
Shreveport, LA 71101
Phone (318) 222-6226

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1442707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1376912386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 DUNBAR RD",
            "city": "WOODLAWN",
            "state": "TN",
            "postal_code": "371919276",
            "telephone_number": "931-272-4275",
            "fax_number": "931-208-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 DUNBAR RD",
            "city": "WOODLAWN",
            "state": "TN",
            "postal_code": "371919276",
            "telephone_number": "931-272-4275",
            "fax_number": "931-208-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINOR",
        "first_name": "DEANNA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-20",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN0992077",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "LA224383",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CO",
            "license": "0169444",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodlawn, TN

Sources for this page

Verify at the official NPI Registry.