Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Angela Marie Minniefield, MSCCCA

Individual provider Audiologist · NPI 1083649131

Mrs. Angela Marie Minniefield, MSCCCA is a Qualified Audiologist in Kenmore, New York. Qualified in 2002, 24 years ago. Practices with Diversified Services for Occupational Therapy Physical Ther, a 24-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
24
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

2900 Delaware Ave
Kenmore, NY 14217-2309
Phone: (716) 871-9915
Fax: (716) 362-0472
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 0019921 (NY)

Record details

NPI number1083649131
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCCA
Sole proprietorNo
NPI enumeratedJuly 11, 2006
Last updated in NPPESJune 29, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Diversified Services For Occupational Therapy Physical Ther — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kenmore