Active NPI
Cheryl A Minor, C.D.
- Nutritionist
- Springville, UT
National Provider Identifier
1538299169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 102194-4901
- Practice address
- 1686 Spring Creek Dr
Springville, UT 84663-2124 - Phone
- (801) 357-7159
- NPI assigned
- Mar 6, 2007
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 102194-4901 | UT | Primary |
Addresses
Primary practice location
1686 Spring Creek Dr
Springville, UT 84663-2124
Mailing address
1034 N 500 W
Provo, UT 84604-3380
Phone (801) 357-2940
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 999000021033 | Medicaid | UT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 102194-4901 | UT | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1538299169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1034 N 500 W",
"city": "PROVO",
"state": "UT",
"postal_code": "846043380",
"telephone_number": "801-357-2940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1686 SPRING CREEK DR",
"city": "SPRINGVILLE",
"state": "UT",
"postal_code": "846632124",
"telephone_number": "801-357-7159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINOR",
"first_name": "CHERYL",
"middle_name": "A",
"credential": "C.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "UT",
"license": "102194-4901",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "999000021033",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.