Angela Michelle Mineo, APRN-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

APRN9351348 Issued in FL

Practice address

19211 N Dale Mabry Hwy
Lutz, FL 33548-5067

Phone

(813) 776-5751

Fax

(813) 336-8821

NPI assigned

Aug 25, 2016

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

Other names 1

• Angela Winn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2023 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Silver Wings Independence at Home LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Pinellas Park, FL
  • NPI 1407128234
  NPD (past)

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1891241345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19211 N DALE MABRY HWY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335485067",
            "telephone_number": "813-776-5751",
            "fax_number": "813-336-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19211 N DALE MABRY HWY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335485067",
            "telephone_number": "813-776-5751",
            "fax_number": "813-336-8821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8142 Bellarus Way Ste 101",
            "address_purpose": "LOCATION",
            "city": "Trinity",
            "state": "FL",
            "postal_code": "346551799",
            "country_code": "US",
            "telephone_number": "813-776-5751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINEO",
        "first_name": "ANGELA",
        "middle_name": "MICHELLE",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-25",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN9351348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "WINN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tiffany L Miller, CPT
• Virginia Elizabeth Miller, RN
• Cheryl Millheim
• Mind Growth Inc
• Mindworks Assessment
• Jameka L Minor, RCSWI
• Miraid, LLC
• Kiele Miranda
• Kioko Mitchell
• Sana Mithwani

• Gerontology Nurse Practitioner in Lutz, FL
• Providers in Lutz, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.