Shaunna F Minnick, RN
Individual provider Active NPI Registered Nurse · Roanoke, IN
NPI 1750162814 · NPPES record last updated Jul 6, 2026
Key facts
- NPI
- 1750162814
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 28213789A (IN)
- Practice address
- 164 N High St
Roanoke, IN 46783-1051 - Phone
- (260) 888-2433
- Fax
- (260) 888-2434
- NPI assigned
- Oct 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28213789A | IN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guardian Consortium Group, LLC | Current | Accepting new patients | |
| Absolute Health and Wellness LLC | Current |
Accepting new patients |
Locations
5907 Covington Rd
Ste E
Fort Wayne, IN 46804
Phone (317) 650-9031
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28213789A | IN | Yes |
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
Other providers in Roanoke, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.