Active NPI
Sandra Lynn Minnick, CRNP
- Family Nurse Practitioner
- Ephrata, PA
National Provider Identifier
1700826427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- VP003366B
- Practice address
- 136 A&B Lake Street
Ephrata, PA 17522-2415 - Phone
- (717) 721-7718
- Fax
- (717) 721-7726
- NPI assigned
- Jun 8, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | VP003366B | PA | Primary |
Addresses
Primary practice location
136 A&B Lake Street
Ephrata, PA 17522-2415
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405
Other practice location 1
1135 Georgetown Rd
Christiana, PA 17509-9543
Phone (717) 466-2462
Other practice location 2
30 W Swartzville Rd
Reinholds, PA 17569-9641
Phone (717) 484-4347
Other practice location 3
4131A Oregon Pike
Ephrata, PA 17522-9550
Phone (717) 859-1123
Other practice location 4
1635 W Main St
Ephrata, PA 17522-1119
Phone (717) 738-2468
Other practice location 5
446 N Reading Rd
Ephrata, PA 17522-9802
Phone (717) 721-7718
Other practice location 6
770 Broad St
East Earl, PA 17519-9752
Phone (717) 445-4576
Other practice location 7
2320 Rothsville Rd
Lititz, PA 17543-8215
Phone (717) 721-4800
Other practice location 8
264 Granite Run Dr
Lancaster, PA 17601-6804
Phone (717) 721-8205
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ephrata Community Hospital | Past | Accepting new patients |
Interoperability endpoints
- sminnick@direct-address.net
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.
-
- General Acute Care Hospital
- Ephrata, PA
- NPI 1558558064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1700826427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 MEMORY LN",
"city": "YORK",
"state": "PA",
"postal_code": "174022231",
"telephone_number": "717-851-1405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 A&B LAKE STREET",
"city": "EPHRATA",
"state": "PA",
"postal_code": "175222415",
"telephone_number": "717-721-7718",
"fax_number": "717-721-7726"
}
],
"practiceLocations": [
{
"address_1": "1135 Georgetown Rd",
"address_purpose": "LOCATION",
"city": "Christiana",
"state": "PA",
"postal_code": "175099543",
"country_code": "US",
"telephone_number": "717-466-2462",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "30 W Swartzville Rd",
"address_purpose": "LOCATION",
"city": "Reinholds",
"state": "PA",
"postal_code": "175699641",
"country_code": "US",
"telephone_number": "717-484-4347",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4131A Oregon Pike",
"address_purpose": "LOCATION",
"city": "Ephrata",
"state": "PA",
"postal_code": "175229550",
"country_code": "US",
"telephone_number": "717-859-1123",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1635 W Main St",
"address_purpose": "LOCATION",
"city": "Ephrata",
"state": "PA",
"postal_code": "175221119",
"country_code": "US",
"telephone_number": "717-738-2468",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "446 N Reading Rd",
"address_purpose": "LOCATION",
"city": "Ephrata",
"state": "PA",
"postal_code": "175229802",
"country_code": "US",
"telephone_number": "717-721-7718",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "770 Broad St",
"address_purpose": "LOCATION",
"city": "East Earl",
"state": "PA",
"postal_code": "175199752",
"country_code": "US",
"telephone_number": "717-445-4576",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2320 Rothsville Rd",
"address_purpose": "LOCATION",
"city": "Lititz",
"state": "PA",
"postal_code": "175438215",
"country_code": "US",
"telephone_number": "717-721-4800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "264 Granite Run Dr",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "PA",
"postal_code": "176016804",
"country_code": "US",
"telephone_number": "717-721-8205",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MINNICK",
"first_name": "SANDRA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "VP003366B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ephrata, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.