Amanda Minor

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA.15229-NP Issued in OH

Practice address

1821 E High St
Springfield, OH 45505-1225

Phone

(937) 323-7340

NPI assigned

Oct 24, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: amanda.minor@physurg.directbygreenway.com

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

• Mercy Health Physicians Springfield Specialty Care LLC

  • Surgery Physician
  • Springfield, OH
  • NPI 1790308104
  NPD (past)

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1407284672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 E HIGH ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455051225",
            "telephone_number": "937-323-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 E HIGH ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455051225",
            "telephone_number": "937-323-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINOR",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-24",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.332343-COA1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.15229-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Trenum Mills, PA-C
• Cydney Mills
• Kirk Dewayne Mills II
• Dallas Milton
• Linda R Mink
• John Donivon Misocky
• Thelma Dianne Misocky
• Pooja Shikha Misra, D.D.S.
• Brianna Mitchell
• Monique L Mitchell, CDCA

• Family Nurse Practitioner in Springfield, OH
• Providers in Springfield, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.