Active NPI
Jamie Ann Mimna, LMT
- Massage Therapist
- Red Lion, PA
National Provider Identifier
1932540069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MSG001902
- Practice address
- 29 S Main St
Red Lion, PA 17356-2141 - Phone
- (717) 676-2006
- NPI assigned
- Jul 17, 2013
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MSG001902 | PA | Primary |
Addresses
Primary practice location
29 S Main St
Red Lion, PA 17356-2141
Mailing address
29 S Main St
Red Lion, PA 17356-2141
Phone (717) 676-2006
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 |
|---|---|---|---|
| MSG001902 | PA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374019200000",
"number": "1932540069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 S MAIN ST",
"city": "RED LION",
"state": "PA",
"postal_code": "173562141",
"telephone_number": "717-676-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 S MAIN ST",
"city": "RED LION",
"state": "PA",
"postal_code": "173562141",
"telephone_number": "717-676-2006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIMNA",
"first_name": "JAMIE",
"middle_name": "ANN",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-17",
"last_updated": "2013-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "PA",
"license": "MSG001902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Red Lion, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.