Individual provider Active NPI

Leonida Minelga, REGISTERED NURSE

  • Case Management Registered Nurse
  • New Smyrna Beach, FL
National Provider Identifier
1871115360
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
2627342 Issued in FL
Practice address
320 S Wild Orange Dr
New Smyrna Beach, FL 32168-8378
Phone
(386) 316-8212
Fax
(866) 797-0579
NPI assigned
May 7, 2020
Last updated
May 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 2627342 FL Primary

Addresses

Primary practice location

320 S Wild Orange Dr
New Smyrna Beach, FL 32168-8378

Mailing address

320 S Wild Orange Dr
New Smyrna Beach, FL 32168-8378
Phone (386) 316-8212

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

State licenses

LicenseStateTypeSpecialty
2627342FLMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1871115360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S WILD ORANGE DR",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321688378",
            "telephone_number": "386-316-8212",
            "fax_number": "866-797-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 S WILD ORANGE DR",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321688378",
            "telephone_number": "386-316-8212",
            "fax_number": "866-797-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINELGA",
        "first_name": "LEONIDA",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "FL",
            "license": "2627342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Smyrna Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.