Active NPI
Nimo A Jama I
- Family Medicine Physician
- Madison, WI
National Provider Identifier
1669349072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 39-3403977
- Practice address
- 4349 Crawford Dr
Madison, WI 53711-4806 - Phone
- (614) 582-0978
- NPI assigned
- Oct 21, 2025
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 39-3403977 | WI | Primary |
Addresses
Primary practice location
4349 Crawford Dr
Madison, WI 53711-4806
Mailing address
4349 Crawford Dr
Madison, WI 53711-4806
Phone (614) 582-0978
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39-3403977 | Medicaid | WI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39-3403977 | WI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761004800000",
"number": "1669349072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4349 CRAWFORD DR",
"city": "MADISON",
"state": "WI",
"postal_code": "537114806",
"telephone_number": "614-582-0978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4349 CRAWFORD DR",
"city": "MADISON",
"state": "WI",
"postal_code": "537114806",
"telephone_number": "614-582-0978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMA",
"first_name": "NIMO",
"middle_name": "A",
"name_suffix": "I",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-21",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "WI",
"license": "39-3403977",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39-3403977",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.