Miss Mary Community Development

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

MISS MARY COMMUNITY DEVELOPMENT

Doing business as

A Hunters' Adventure Foot Care

Practice address

1630 Trenton Avenue Apt 10
Bremerton, WA 98310

Phone

(360) 908-8536

NPI assigned

Dec 11, 2019

Organization subpart

Yes

Parent organization

MISS MARY COMMUNITY DEVELOPMENTAs reported in NPPES

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

Authorized official

Name

Ms. Marian Sanders

Title

Registered Agent

Phone

(360) 908-8536

Specialties & licenses 2

Addresses

Other names 1

• A Hunters' Adventure Foot Care Doing business as

Part of

Miss Mary Community Development

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1891333613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 TRENTON AVENUE APT 10",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "98310",
            "telephone_number": "360-908-8536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 TRENTON AVENUE APT 10",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "98310",
            "telephone_number": "360-908-8536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISS MARY COMMUNITY DEVELOPMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MISS MARY COMMUNITY DEVELOPMENT",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "360-908-8536",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Hunters' Adventure Foot Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Boyd Mims
• Morgan Minalia
• Jane Andrea Minish, RN, BSN, CNOR, CRNFA
• Kristin Elizabeth Minnick, MSN, CNM
• Lisa Minters
• Aalysia Mitchell
• Barbara Ann Mitchell
• Dwight Gary Mitchell, RN
• Michael George Mitchell, DDS
• Ashley Lynn Mitchusson, MA, MHP

• Certified Registered Nurse Anesthetist in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Certified Registered Nurse Anesthetist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.