Keisha Deshea Mimes

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

264348 Issued in KY

Practice address

181 Old Whitley Rd
London, KY 40744-8211

Phone

(606) 330-0223

NPI assigned

Jul 29, 2020

Last updated

Apr 21, 2021By 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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oakley Chiropractic Center PSC

  • Chiropractor
  • London, KY
  • NPI 1386807634
  NPD

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1518576115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 OXFORD CIR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404758263",
            "telephone_number": "606-733-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 OLD WHITLEY RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407448211",
            "telephone_number": "606-330-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIMES",
        "first_name": "KEISHA",
        "middle_name": "DESHEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "264348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY STATE LICENSE",
            "identifier": "264348",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "alexanderandassociatesslp@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Office email",
            "address_1": "212 Thompson Poynter Rd",
            "city": "London",
            "state": "KY",
            "country_code": "US",
            "postal_code": "407417238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathy J Miller, DMD
• Sarah E Miller, PHARMD
• William Bryan Miller, LPCC-S
• Kelli Mills, APRN
• Randall Mills, PA-C
• David E Minga, CRNA
• Lisa Mink
• Victor Howard Minton, R.PH.
• Kyle Mitchell, LCADC, CSW
• Modern Dental Solutions

• Occupational Therapist in London, KY
• Providers in London, KY by specialty
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.