Individual provider Active NPI

Eileen A Minnock, CNM

  • Advanced Practice Midwife
  • Butler, PA
National Provider Identifier
1811005259
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
901 East Brady Street
Suite 100
Butler, PA 16001
Phone
(724) 285-9200
Fax
(724) 285-9288
NPI assigned
Aug 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X Primary

Addresses

Primary practice location

901 East Brady Street
Suite 100
Butler, PA 16001

Mailing address

901 East Brady Street
Suite 100
Butler, PA 16001
Phone (724) 285-9200

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
Certified Nurse Midwife

NPI Registry JSON

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1811005259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 EAST BRADY STREET",
            "address_2": "SUITE 100",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "16001",
            "telephone_number": "724-285-9200",
            "fax_number": "724-285-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 EAST BRADY STREET",
            "address_2": "SUITE 100",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "16001",
            "telephone_number": "724-285-9200",
            "fax_number": "724-285-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINNOCK",
        "first_name": "EILEEN",
        "middle_name": "A",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-27",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.