Active NPI
Carla M Minosh, NP
- Nurse Practitioner
- Vienna, VA
National Provider Identifier
1568660934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2006010762-22
- Practice address
- 100 East St SE
Suite 301
Vienna, VA 22180-4800 - Phone
- (703) 938-5555
- Fax
- (703) 319-8580
- NPI assigned
- Jul 6, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2006010762-22 | VA | Primary |
Addresses
Primary practice location
100 East St SE
Suite 301
Vienna, VA 22180-4800
Mailing address
803 Jackson St
Falls Church, VA 22046-2834
Phone (703) 938-5555
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006010762-22 | VA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568660934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 JACKSON ST",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220462834",
"telephone_number": "703-938-5555",
"fax_number": "703-319-8580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 EAST ST SE",
"address_2": "SUITE 301",
"city": "VIENNA",
"state": "VA",
"postal_code": "221804800",
"telephone_number": "703-938-5555",
"fax_number": "703-319-8580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINOSH",
"first_name": "CARLA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "2006010762-22",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.