Shorus Minella

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L008225 Issued in NC

Practice address

1011 Rock Quarry Rd
Raleigh, NC 27610-3825

Phone

(919) 250-2978

NPI assigned

Oct 17, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

University of South Carolina School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advance Community Health Inc 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advance Community Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Raleigh, NC
  • NPI 1245223783

  NC

  Medicare reassignment Care Compare group NPD
• Advance Community Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Apex, NC
  • NPI 1598751463
  Care Compare group NPD (past)
• Advance Community Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Raleigh, NC
  • NPI 1003528381
  Care Compare group
• Advance Community Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Raleigh, NC
  • NPI 1114479011
  Care Compare group
• Advance Community Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Fuquay Varina, NC
  • NPI 1114913092
  Care Compare group
• Advance Community Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Cary, NC
  • NPI 1275085144
  Care Compare group
• Advance Community Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Raleigh, NC
  • NPI 1871589762
  Care Compare group
• Advance Community Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Cary, NC
  • NPI 1952760290
  Care Compare group
• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1619798147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 ABBOTT LN",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275134140",
            "telephone_number": "843-845-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 ROCK QUARRY RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276103825",
            "telephone_number": "919-250-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINELLA",
        "first_name": "SHORUS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L008225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindfully We Elevate
• Mindly Group, PLLC
• Minds Matter of North Carolina LLC
• Mindspire Health PLLC
• Mindstrong PLLC
• Carolyn Minge
• Jennifer Minihan, SLP
• Daniel Minior
• Thomas A Mink, PA
• Vivian Marie Minkemeyer, M.D.

• All providers in Raleigh, NC
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.