Staci R Mims

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

RN959015 Issued in FL

Practice address

3700 Reservoir Rd NW
Washington, DC 20007-2111

Phone

(202) 687-0100

NPI assigned

Jul 2, 2026

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1782950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1417874074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5229 MILLENIA BLVD APT 104",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328396145",
            "telephone_number": "559-392-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 RESERVOIR RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072111",
            "telephone_number": "202-687-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIMS",
        "first_name": "STACI",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-02",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "RN959015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly C Mims, PHARM.D.
• Debra Mims, DOULA
• Demetrius Mims Jr.
• Lamiya S Mims
• Oscar Mims, MD
• Peter S Mina
• Tara Minaee, CNM
• Melanie Ann Minalga, D.O
• Meaza Minasea
• Mind & Reason Advocacy Group, LLC.

• Women's Health Nurse Practitioner in Washington, DC
• Providers in Washington, DC by specialty
• Women's Health Nurse Practitioner in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.