Active NPI
Jimmilisa Totten
- Contractor
- Durham, NC
National Provider Identifier
1578178166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 4629 Hope Valley Rd Apt a
Durham, NC 27707-6611 - Phone
- (919) 597-1908
- NPI assigned
- Sep 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | NC | Primary |
Addresses
Primary practice location
4629 Hope Valley Rd Apt a
Durham, NC 27707-6611
Mailing address
4629 Hope Valley Rd Apt a
Durham, NC 27707-6611
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | jlisatotten@gmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1578178166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4629 HOPE VALLEY RD APT A",
"city": "DURHAM",
"state": "NC",
"postal_code": "277076611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4629 HOPE VALLEY RD APT A",
"city": "DURHAM",
"state": "NC",
"postal_code": "277076611",
"telephone_number": "919-597-1908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOTTEN",
"first_name": "JIMMILISA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-10",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "jlisatotten@gmail.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "jlisatotten@gmail.com",
"address_1": "4629 Hope Valley Rd Apt A",
"city": "Durham",
"state": "NC",
"country_code": "US",
"postal_code": "277076611",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.