Individual provider Active NPI

Brenda Deanne Minge, RMT

  • Health & Wellness Coach
  • Gilbert, AZ
National Provider Identifier
1568115475
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
224488052-ISLR1030 Issued in CA
Practice address
1300 W Warner Rd Apt 2028
Gilbert, AZ 85233-7031
Phone
(314) 239-4995
NPI assigned
Jan 31, 2022
Last updated
Jan 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X 224488052-ISLR1030 CA Primary

Addresses

Primary practice location

1300 W Warner Rd Apt 2028
Gilbert, AZ 85233-7031

Mailing address

1300 W Warner Rd Apt 2028
Gilbert, AZ 85233-7031
Phone (314) 239-4995

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
224488052-ISLR1030CAMDHealth & Wellness Coach

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1568115475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W WARNER RD APT 2028",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852337031",
            "telephone_number": "314-239-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W WARNER RD APT 2028",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852337031",
            "telephone_number": "314-239-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINGE",
        "first_name": "BRENDA",
        "middle_name": "DEANNE",
        "credential": "RMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "CA",
            "license": "224488052-ISLR1030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.