Individual provider Active NPI

Shaunna F Minnick, RN

  • Registered Nurse
  • Roanoke, IN
National Provider Identifier
1750162814
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
28213789A Issued in IN
Practice address
164 N High St
Roanoke, IN 46783-1051
Phone
(260) 888-2433
Fax
(260) 888-2434
NPI assigned
Oct 13, 2023
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28213789A IN Primary

Addresses

Primary practice location

164 N High St
Roanoke, IN 46783-1051

Mailing address

164 N High St
Roanoke, IN 46783-1051
Phone (260) 888-2433

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
28213789AINMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Guardian Consortium Group, LLC Current Accepting new patients
Absolute Health and Wellness LLC CurrentSince Oct 15, 2023 Accepting new patients

Locations

5907 Covington Rd
Ste E
Fort Wayne, IN 46804

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1750162814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 N HIGH ST",
            "city": "ROANOKE",
            "state": "IN",
            "postal_code": "467831051",
            "telephone_number": "260-888-2433",
            "fax_number": "260-888-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 N HIGH ST",
            "city": "ROANOKE",
            "state": "IN",
            "postal_code": "467831051",
            "telephone_number": "260-888-2433",
            "fax_number": "260-888-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINNICK",
        "first_name": "SHAUNNA",
        "middle_name": "F",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-13",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28213789A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.