Active NPI
Yvonne Brandon Minott, ANP
- Adult Health Nurse Practitioner
- New York, NY
National Provider Identifier
1649239955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F304024-1
- Practice address
- 1 Penn PLZ
8TH Floor
New York, NY 10119-0002 - Phone
- (212) 216-6434
- NPI assigned
- Mar 23, 2006
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F304024-1 | NY | Primary |
Addresses
Primary practice location
1 Penn PLZ
8TH Floor
New York, NY 10119-0002
Mailing address
434 Homestead Ave
Mt Vernon, NY 10553-1913
Phone (914) 667-3292
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04114238 | Medicaid | NY |
Other names 1
- Yvonne Minott B Minott
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F304024-1 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lwhmedical PC | Current | Accepting new patients |
Locations
1811 Hone Ave
Bronx, NY 10461
Phone (516) 499-9016
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Bronx, NY
- NPI 1184968232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438041600000",
"number": "1649239955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "434 HOMESTEAD AVE",
"city": "MT VERNON",
"state": "NY",
"postal_code": "105531913",
"telephone_number": "914-667-3292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PENN PLZ",
"address_2": "8TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101190002",
"telephone_number": "212-216-6434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINOTT",
"first_name": "YVONNE",
"middle_name": "BRANDON",
"name_prefix": "Ms.",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-23",
"last_updated": "2015-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F304024-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04114238",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "YVONNE MINOTT",
"last_name": "MINOTT",
"middle_name": "B",
"credential": "ANP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.