Mims Sitter Service, Inc

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

N16000011186 Issued in FL

Legal business name

MIMS SITTER SERVICE, INC

Practice address

2129 Upton CT S
St Petersburg, FL 33712-3145

Phone

(727) 322-3644

NPI assigned

Dec 14, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Mary Louise Mims I

Title

Employee

Phone

(727) 322-3644

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1679017339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2129 UPTON CT S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337123145",
            "telephone_number": "727-322-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2129 UPTON CT S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337123145",
            "telephone_number": "727-322-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIMS SITTER SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "MIMS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "727-322-3644",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "FL",
            "license": "N16000011186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Milosescu
• Alex C Milov, LMHC
• Dagmar Weber Milroy, M.A., CCC-SLP
• Adrian Milton
• Jennifer Mimkha, MPH RD LDN CLC CLT
• Mind & Body Clinic Corp
• Mind and Mouth
• Mind Body Foundations OT, LLC
• Mind Body Wellness Group LLC
• Mind Glow Therapy LLC

• Exclusive Provider Organization in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Exclusive Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.