Amy Margaret Mimm, PUBLIC HEALTH NURSE

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

R131559-0 Issued in MN

Practice address

14955 Galaxie Ave
Apple Valley, MN 55124-4519

Phone

(952) 891-7566

Fax

(952) 891-7565

NPI assigned

Aug 14, 2015

Last updated

Aug 14, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1164898011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14955 GALAXIE AVE",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244519",
            "telephone_number": "952-891-7566",
            "fax_number": "952-891-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14955 GALAXIE AVE",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244519",
            "telephone_number": "952-891-7566",
            "fax_number": "952-891-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIMM",
        "first_name": "AMY",
        "middle_name": "MARGARET",
        "credential": "PUBLIC HEALTH NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-14",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MN",
            "license": "R131559-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Denise Mike
• Courtney Mikulichek, BC-HIS
• Catherine Nicole Millar, OTR/L
• Charles Nolan Miller, DDS
• Mary Anna Miller, LP
• Minnesota Dental Professionals, P.C. (Mosaic Dental-Apple Valley)
• Minnesota Dental Professionals, P.C. (Apple Valley Family Dentistry)
• Ellen Jean Minor, OTR/L
• Ashley Rae Roberts Mitchell, LPCC
• Rebecca L Mitchell, M.D.

• Community Health Registered Nurse in Apple Valley, MN
• Providers in Apple Valley, MN by specialty
• Community Health Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.