Active NPI
Shanita Minor, RN
- Home Health Registered Nurse
- Philadelphia, PA
National Provider Identifier
1851056972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- RN678707
- Practice address
- 1123 N 63Rd St
Philadelphia, PA 19151-3209 - Phone
- (215) 650-7767
- NPI assigned
- Nov 3, 2021
- 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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RN678707 | PA | Primary |
Addresses
Primary practice location
1123 N 63Rd St
Philadelphia, PA 19151-3209
Mailing address
403 Zamora CT
Townsend, DE 19734-3054
Phone (267) 216-6113
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | optonome.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN678707 | PA | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vital Needs Home Care, LLC. | Current | Accepting new patients | |
| Care in Mind | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- In Home Supportive Care Agency
- Bala Cynwyd, PA
- NPI 1124527510
-
- Home Health Agency
- Philadelphia, PA
- NPI 1003461724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635897600000",
"number": "1851056972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 ZAMORA CT",
"city": "TOWNSEND",
"state": "DE",
"postal_code": "197343054",
"telephone_number": "267-216-6113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1123 N 63RD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191513209",
"telephone_number": "215-650-7767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINOR",
"first_name": "SHANITA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-03",
"last_updated": "2021-11-03",
"certification_date": "2021-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "PA",
"license": "RN678707",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "optonome.com",
"affiliation": "N",
"endpointDescription": "HIPAA Site",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Native",
"address_1": "1123 N 63rd St",
"city": "Philadelphia",
"state": "PA",
"country_code": "US",
"postal_code": "191513209",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.