Active NPI
Jameka L Minor, RCSWI
- Social Worker
- Lutz, FL
National Provider Identifier
1679337273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ISW19869
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ISW19869 | FL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Health Care Alliance, PA | Current | Accepting new patients | |
| Pediatric Health Care Alliance, PA | Past | Accepting new patients | |
| Pediatric Health Care Alliance, PA | Past | 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.
-
- Pediatrics Physician
- Lutz, FL
- NPI 1619643566
-
- Pediatrics Physician
- Brandon, FL
- NPI 1255007019
-
- Pediatrics Physician
- Oldsmar, FL
- NPI 1609965441
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.