MRS. ANITA MINICUCCI (NPI# 1235257551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235257551 |
| Entity Type | Individual |
| Full Name | MRS. ANITA MINICUCCI |
| Credential | RNP |
| Practice Address |
1420 S Central Ave Glendale CA 91204-2508 |
| Mailing Address |
31542 Calle Los Padres Temecula CA 92592-5816 |
| Practice Telephone | 8185024567 |
| Practice Fax Number | 8185024568 |
| Mailing Telephone | 9513030325 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 202949 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1420 S CENTRAL AVE |
| City | GLENDALE |
| State | CA |
| Zip Code | 91204-2508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265426928 | Citrus Pathology Medical Group | Pathology | 1420 S Central Ave, Dept of Pathology, Glendale, CA 91204-2508 | 2005-09-08 |
| 1841817996 | Sandy Wu | Occupational Therapist | 1420 S Central Ave, Glendale, CA 91204-2508 | 2020-07-05 |
| 1811520224 | Willow Brook Critical Care Medical Group, Inc | Hospitalist | 1420 S Central Ave, Glendale, CA 91204-2508 | 2020-02-14 |
| 1821659905 | Nathalie Chenkerian | Pharmacist | 1420 S Central Ave, Glendale, CA 91204-2508 | 2019-06-27 |
| 1558928424 | Sheila Efosi Harry | Nurse Practitioner | 1420 S Central Ave, Glendale, CA 91204-2508 | 2019-05-24 |
| 1245799279 | Cedar Springs Hospitalist Medical Group, Inc. | Hospitalist | 1420 S Central Ave, Glendale, CA 91204-2508 | 2019-03-19 |
| 1235618141 | Reina Capati | Dietitian, Registered | 1420 S Central Ave, Glendale, CA 91204-2508 | 2018-08-10 |
| 1871020032 | Cep America - Neurology PC | Psychiatry & Neurology | 1420 S Central Ave, Glendale, CA 91204-2508 | 2017-05-18 |
| 1285092163 | Socorro Carranza | Dietitian, Registered | 1420 S Central Ave, Glendale, CA 91204-2508 | 2016-02-05 |
| 1336522879 | Melanie Smith | Social Worker | 1420 S Central Ave, Glendale, CA 91204-2508 | 2015-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558997387 | Hope & Trust Trading LLC | Radiology | 318 W Colorado St #2, Glendale, CA 91204 | 2020-03-12 |
| 1972133387 | Yusuf Toliver | Counselor | 1027 S Central Ave, Suite 200, Glendale, CA 91204 | 2020-01-24 |
| 1538633136 | Pathology La Inc. | Clinical Medical Laboratory | 4634 San Fernando Rd., Same As Above, Glendale, CA 91204 | 2019-01-16 |
| 1295254050 | Glendale Back and Pain Center | Neurological Surgery | 710 S. Central Ave, Suite 240, Glendale, CA 91204 | 2017-09-13 |
| 1285163568 | Ez Trans, Inc. | Transportation Broker | 1626 S. Central Ave., Glendale, CA 91204 | 2017-06-08 |
| 1194254474 | Jenny Chung | Pharmacist | 3943 San Fernando Road, Glendale, CA 91204 | 2017-06-08 |
| 1396111886 | Fresenius Medical Care Glendale, LLC | Clinic/Center | 623 S Central Ave, Glendale, CA 91204 | 2015-08-19 |
| 1710302450 | New Age Foot and Ankle Podiatry PC | Podiatrist | 705 Ivy Street, Glendale, CA 91204 | 2014-03-04 |
| 1124454376 | Alber K. Karamanoukian Medical Clinic, Inc. | Clinic/Center | 810 S. Central Avenue, Suite 100, Glendale, CA 91204 | 2013-09-19 |
| 1548521156 | Glendale Plastic and Reconstructive Surgery Inc. | Plastic Surgery | 1500 S. Central Ave. #126, Glendale, CA 91204 | 2012-05-31 |
| Find all providers in zip 91204 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033724737 | Stephanie Janice Blanks | Nurse Practitioner | 500 N Central Ave Ste 900, Glendale, CA 91203-3346 | 2020-09-10 |
| 1992341234 | Kiran Latif | Nurse Practitioner | 1133 Justin Ave Apt 210, Glendale, CA 91201-1825 | 2019-11-21 |
| 1225597727 | Sara Dyane Diaz- Ingram | Nurse Practitioner | 6702 W Bethany Home Rd Ste 14, Glendale, AZ 85303-4402 | 2019-03-14 |
| 1184198442 | Vitality Medical Center Inc | Nurse Practitioner | 1648 W Glenoaks Blvd # 101, Glendale, CA 91201-1827 | 2019-01-18 |
| 1952870628 | Svetlana Serebryanaya | Nurse Practitioner | 6007 W Potter Dr, Glendale, AZ 85308-6731 | 2018-11-24 |
| 1548765225 | Noralie Pizarro Raudszus | Nurse Practitioner | 1505 Wilson Ter Ste 155, Glendale, CA 91206-4032 | 2018-03-26 |
| 1255836904 | Shakeh Haghnazarian | Nurse Practitioner | 1163 Winchester Ave Apt 6, Glendale, CA 91201-1828 | 2018-03-26 |
| 1093261448 | Marina Podlubnaya | Nurse Practitioner | 230 N Maryland Ave Ste 209, Glendale, CA 91206-4282 | 2016-08-26 |
| 1760819866 | Desiree Maducdoc | Nurse Practitioner | 1137 N Central Ave Apt 1524, Glendale, CA 91202-3683 | 2013-10-03 |
| 1578874350 | Silver Continence Care Ca, Nursing PC | Nurse Practitioner | 1010 N Central Ave, Glendale, CA 91202-2937 | 2010-06-28 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.