Nadine Kundimana Minani, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-09824 Issued in NC

Practice address

615 Ridge Rd
Roxboro, NC 27573-4629

Phone

(336) 503-5788

NPI assigned

Feb 20, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1831722503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 RUSHING CREEK PKWY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276104699",
            "telephone_number": "919-816-5786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 RIDGE RD",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275734629",
            "telephone_number": "336-503-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINANI",
        "first_name": "NADINE",
        "middle_name": "KUNDIMANA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-09824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Louis Messmer, D.O.
• MHS Unlimited,Corporation
• Theodore Clayton Michie, B.S. PHARM
• Caleb Jonathan Migombo, P-LCSW
• Rachel Nicole Miller, PA-C
• Miracles on Demand
• Gail Elizabeth Moore, PA-C
• Gladys Moore
• Keevela Moore
• Brenda Lee Morrison, NP-C

• Physician Assistant in Roxboro, NC
• Providers in Roxboro, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.