Mary-Anne Jones Mimier, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5009852 Issued in NC

Practice address

16623 Birkdale Commons Pkwy Ste 110
Huntersville, NC 28078-5622

Phone

(047) 820-4197

Fax

(980) 689-2872

NPI assigned

Oct 2, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1710497011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 AARON PL NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280274182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16623 BIRKDALE COMMONS PKWY STE 110",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785622",
            "telephone_number": "047-820-4197",
            "fax_number": "980-689-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIMIER",
        "first_name": "MARY-ANNE",
        "middle_name": "JONES",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5009852",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5009852",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Mae Miller, PA-C
• Keith Brumley Miller, O.D.
• Macy Miller
• Taylor Ashlyn Miller, M.S., CCC-SLP
• Gannon Neil Millsaps, PA-S
• Mindful Intentions, PLLC
• Mindmatters Hypnosis and Counseling, Inc.
• Sara Minty
• William R Mitchell, MD
• Zakiya Zawadi Mitchell

• Nurse Practitioner in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.