Individual provider Active NPI

Cindy Almeida Mimo, MS, CCN

  • Nutritionist
  • Glastonbury, CT
National Provider Identifier
1952737496
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
001167 Issued in CT
Practice address
160 Oak St
Suite 204
Glastonbury, CT 06033-2399
Phone
(860) 888-6467
NPI assigned
Sep 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 001167 CT Primary

Addresses

Primary practice location

160 Oak St
Suite 204
Glastonbury, CT 06033-2399

Mailing address

160 Oak St
Suite 204
Glastonbury, CT 06033-2399
Phone (860) 888-6467

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
001167CTMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1952737496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 OAK ST",
            "address_2": "SUITE 204",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332399",
            "telephone_number": "860-888-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 OAK ST",
            "address_2": "SUITE 204",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332399",
            "telephone_number": "860-888-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIMO",
        "first_name": "CINDY",
        "middle_name": "ALMEIDA",
        "name_prefix": "Ms.",
        "credential": "MS, CCN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "CT",
            "license": "001167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.

Verify at the official NPI Registry.