Active NPI
Jennifer Mims
- Religious Nonmedical Nursing Personnel
- Anchorage, AK
National Provider Identifier
1689856783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Religious Nonmedical Nursing Personnel
- Practice address
- 1520 Nichols St
Anchorage, AK 99508-3056 - Phone
- (907) 375-8779
- NPI assigned
- Nov 30, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Religious Nonmedical Nursing Personnel | 374T00000X | Primary |
Addresses
Primary practice location
1520 Nichols St
Anchorage, AK 99508-3056
Mailing address
1520 Nichols St
Anchorage, AK 99508-3056
Phone (907) 375-8779
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": "1196380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196380800000",
"number": "1689856783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 NICHOLS ST",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995083056",
"telephone_number": "907-375-8779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 NICHOLS ST",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995083056",
"telephone_number": "907-375-8779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIMS",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-30",
"last_updated": "2007-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "374T00000X",
"taxonomy_group": "",
"desc": "Religious Nonmedical Nursing Personnel",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.