Kesha C Mimms, RN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN-2794 Issued in HI

Practice address

952 N King St
Honolulu, HI 96817-4556

Phone

(808) 841-7981

NPI assigned

Oct 31, 2018

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

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kalihi Palama Health CenterGroup PAC ID 4284544842, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kesha.mimms.1@28780.direct.athenahealth.com

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.

• Kalihi Palama Health Center

  • Federally Qualified Health Center (FQHC)
  • Honolulu, HI
  • NPI 1457304966
  Medicare reassignment Care Compare group NPD
• Kalihi Palama Health Center

  • Federally Qualified Health Center (FQHC)
  • Honolulu, HI
  • NPI 1235908831
  NPD

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1609343391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 DOMINIS ST APT 16",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968223020",
            "telephone_number": "978-239-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 N KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174556",
            "telephone_number": "808-841-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIMMS",
        "first_name": "KESHA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2270873",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "APRN-2794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga Mills, PT
• Milton Ackerman, M.D., Inc.
• Emily Grace Milton
• Stephanie Milz, PSY.D.
• Ronald Mimaki, PT
• Christina Min, DDS
• Jiyoung Min, PHARM D
• Kathleen Min, MD
• Kyong Su Min, MD
• Noelle Aram Min, DO

• Psychiatric/Mental Health Nurse Practitioner in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.