Individual provider Active NPI

Jameka L Minor, RCSWI

  • Social Worker
  • Lutz, FL
National Provider Identifier
1679337273
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
ISW19869 Issued in FL
Practice address
1854 Oak Grove Blvd
Lutz, FL 33559-8605
Phone
(813) 471-9709
Fax
(813) 303-9656
NPI assigned
Feb 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X ISW19869 FL Primary

Addresses

Primary practice location

1854 Oak Grove Blvd
Lutz, FL 33559-8605

Mailing address

720 Brooker Creek Blvd Ste 215
Oldsmar, FL 34677-2937
Phone (813) 854-2003

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

State licenses

LicenseStateTypeSpecialty
ISW19869FLMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Health Care Alliance, PA CurrentSince Feb 18, 2024 Accepting new patients
Pediatric Health Care Alliance, PA PastSince Aug 28, 2021 Accepting new patients
Pediatric Health Care Alliance, PA PastSince Feb 18, 2024 Accepting new patients

Locations

1854 Oak Grove Blvd
Lutz, FL 33559
Phone (813) 471-9709

720 Brooker Creek Blvd
Ste 215
Oldsmar, FL 34677
Phone (813) 854-2003

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1679337273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 BROOKER CREEK BLVD STE 215",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346772937",
            "telephone_number": "813-854-2003",
            "fax_number": "813-436-5378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1854 OAK GROVE BLVD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335598605",
            "telephone_number": "813-471-9709",
            "fax_number": "813-303-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINOR",
        "first_name": "JAMEKA",
        "middle_name": "L",
        "credential": "RCSWI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "ISW19869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.