Active NPI
Patricia T Minni, RN
- Registered Nurse
- Spencerport, NY
National Provider Identifier
1659645745
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jul 18, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 653938-1
- Practice address
- 73 Ridge Meadows Dr
Spencerport, NY 14559-1658 - Phone
- (585) 352-2915
- NPI assigned
- Mar 7, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 653938-1 | NY | Primary |
Addresses
Primary practice location
73 Ridge Meadows Dr
Spencerport, NY 14559-1658
Mailing address
73 Ridge Meadows Dr
Spencerport, NY 14559-1658
Phone (585) 352-2915
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 653938-1 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463356800000",
"number": "1659645745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 RIDGE MEADOWS DR",
"city": "SPENCERPORT",
"state": "NY",
"postal_code": "145591658",
"telephone_number": "585-352-2915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 RIDGE MEADOWS DR",
"city": "SPENCERPORT",
"state": "NY",
"postal_code": "145591658",
"telephone_number": "585-352-2915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINNI",
"first_name": "PATRICIA",
"middle_name": "T",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-07",
"last_updated": "2016-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "653938-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spencerport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.