NPIMap

Organization Active NPI

Minuteclinic LLC

  • Clinical Social Worker
  • Clearwater, FL
National Provider Identifier
1679181002
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MINUTECLINIC LLC
Practice address
30387 US Highway 19 N
Clearwater, FL 33761-1053
Phone
(866) 389-2727
NPI assigned
Jul 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Authorized official

Name
Deborah Pincince
Title
Administrator
Phone
(401) 770-3813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

30387 US Highway 19 N
Clearwater, FL 33761-1053

Mailing address

PO Box 772
Minuteclinic MC 2295
Woonsocket, RI 02895-0784
Phone (866) 389-2727

Other practice location 1

1380 Woodstock Rd
Roswell, GA 30075-2141
Phone (855) 417-2486

Other practice location 2

7955 Tuckerman Ln
Rockville, MD 20854-3243
Phone (855) 417-2486

Other practice location 3

8332 W Thunderbird Rd
Peoria, AZ 85381-4822
Phone (855) 417-2486

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1090878Minuteclinic LLC30387 US Hwy 19 N, Clearwater, FL 33761Certificate of waiverOct 20, 2026
11D1071384Minuteclinic, LLC1380 Woodstock Road, Roswell, GA 30075Certificate of waiverJul 24, 2027

National Provider Directory

National Provider Directory
Tax ID family
Minuteclinic Inc40 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Locations

865 N Highland Ave NE
Atlanta, GA 30306
Phone (404) 733-6089

NPI Registry JSON

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1679181002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772",
            "address_2": "MINUTECLINIC MC 2295",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028950784",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30387 US HIGHWAY 19 N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337611053",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1380 Woodstock Rd",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300752141",
            "country_code": "US",
            "telephone_number": "855-417-2486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7955 Tuckerman Ln",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208543243",
            "country_code": "US",
            "telephone_number": "855-417-2486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8332 W Thunderbird Rd",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853814822",
            "country_code": "US",
            "telephone_number": "855-417-2486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINUTECLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "PINCINCE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "401-770-3813"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.