Mimi Sue Smith-Danielson, ARNP

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN00039969 Issued in WA

Practice address

26788 Highland Rd NE
Kingston, WA 98346

Phone

(360) 297-8876

Fax

(360) 297-0777

NPI assigned

Aug 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Donald L Sharman MD Inc PS

  • Internal Medicine Physician
  • Bremerton, WA
  • NPI 1881634251
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1174533202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26788 HIGHLAND RD NE",
            "city": "KINGSTON",
            "state": "WA",
            "postal_code": "98346",
            "telephone_number": "360-297-8876",
            "fax_number": "360-297-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26788 HIGHLAND RD NE",
            "city": "KINGSTON",
            "state": "WA",
            "postal_code": "98346",
            "telephone_number": "360-297-8876",
            "fax_number": "360-297-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-DANIELSON",
        "first_name": "MIMI",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00039969",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "AP30001519",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "2813SM",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9633819",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louisa Wales Severn, LM, CPM
• Shauna Kathleen Sheridan, LMP
• Edward Simon, MD
• Emily Sitting Dog
• Rachel Smart, LMH
• Peggy Sue Snow, LMP
• Elizabeth Annie Strandberg, MA61137883
• Emily Ann Stuart, LMP
• Mari Catherine Sullivan, DNP, MSN, ARNP-C
• Tammy L Sullivan, CHR

• Registered Nurse in Kingston, WA
• Providers in Kingston, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.