Charmaise Lynette Mims, LVN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

227680 Issued in TX

Practice address

6380 Bigner Road
Beaumont, TX 77708

Phone

(409) 351-0396

NPI assigned

Jul 15, 2021

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

State licenses

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1467024745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6380 BIGNER RD",
            "address_2": "6380BIGNER RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77703",
            "telephone_number": "409-351-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6380 BIGNER ROAD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77708",
            "telephone_number": "409-351-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIMS",
        "first_name": "CHARMAISE",
        "middle_name": "LYNETTE",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "227680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John K. Miller, M.D.
• Linda Miller, LPC
• Lois M Miller, D.O.
• Richard Miller, LPC
• Obetta Milo, MED, LPC, LCDC
• Minesh Patel MD PA
• Tamara Mingo
• Charles Mitchell, RPH
• Lylieth Mitchell, M.D.
• Mobility Scooters

• Licensed Practical Nurse in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Licensed Practical Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.