MELISA TANISHA MIMS (NPI# 1174136444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174136444 |
| Entity Type | Individual |
| Full Name | MELISA TANISHA MIMS |
| Practice Address |
2611 South Clark Street Suite 700 Arlington VA 22201 |
| Mailing Address |
1070 Mount Olivet Rd Ne Apt C42 Washington DC 20002-2233 |
| Practice Telephone | 8443814432 |
| Practice Fax Number | 8777632165 |
| Mailing Telephone | 2024214553 |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
0 | DC | Nursing Service Related Providers |
| Street Address |
2611 SOUTH CLARK STREET SUITE 700 |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942826425 | Maria Eugenia Flores | Home Health Aide | 2611 South Clark Street, Suite 700, Arlington, VA 22202 | 2020-06-22 |
| 1295332658 | Darlene Robin Gibson | Home Health Aide | 2611 South Clark Street, Suite 700, Arlington, VA 22202 | 2020-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801314422 | Michael John Harrington | Specialist/Technologist | 1301 N Stafford St, Arlington, VA 22201 | 2017-09-04 |
| 1376083352 | Life We Deserve, LLC | Community/Behavioral Health | 1919 Clarendon Blvd Apt 538, Arlington, VA 22201 | 2017-02-24 |
| 1821471244 | Christopher P Henry | Dentist | 1025 N. Fillmore St., Suite A, Arlington, VA 22201 | 2015-07-02 |
| 1699174714 | Northstar Psychological Services | Psychologist | 2000 N. 15th Street, Suite G2-100, Arlington, VA 22201 | 2014-08-14 |
| 1861823809 | Nicole Aniela Szwanke | Physical Therapist | 1005 N Glebe Rd Ste 410, Arlington, VA 22201 | 2013-12-02 |
| 1285073791 | Live Longer Labs LLC | Clinical Medical Laboratory | 1040 N Quincy St Suite 500, Arlington, VA 22201 | 2013-06-18 |
| 1992093355 | Deepthi Moola | Student in an Organized Health Care Education/Training Program | 1005 North Glebe Rd, #430, Arlington, VA 22201 | 2011-07-19 |
| 1245527886 | Eva K Swenson | Dentist | 2250 Clarendon Blvd. Apt. 1212, Arlington, VA 22201 | 2011-07-04 |
| 1639483951 | Hooman Hamidi | Chiropractor | 2778 Washington Blvd, Arlington, VA 22201 | 2010-07-28 |
| 1831400233 | Stephanie A Klassner | Dentist | 1025 North Fillmore Street, Suite A, Arlington, VA 22201 | 2010-06-30 |
| Find all providers in zip 22201 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216446 | Maria A Martinez Ferrufino | Technician | 5100 8th Rd S Apt 210, Arlington, VA 22204-2834 | 2020-08-17 |
| 1174145916 | Biz N Marketing Inc | Technician | 2412 Henderson Dr Apt 1135, Arlington, TX 76010-8774 | 2020-05-14 |
| 1073153383 | Cora Sockwell | Technician | 2611 Richmond Hwy, Arlington, VA 22202-4016 | 2020-01-14 |
| 1306486899 | Brittany Winslow | Technician | 2611 Richmond Hwy Ste 700, Arlington, VA 22202-4016 | 2020-01-13 |
| 1740758135 | Jeanpierre Yoboue | Technician | 3412 Green Hill Dr, Arlington, TX 76014-3305 | 2018-11-05 |
| 1083199715 | William Fominyam | Technician | 727 S Deerfield Cir Ste A, Arlington, TX 76015-3614 | 2018-09-28 |
| 1013493204 | Marion Tamie Baul | Technician | 1504 Rockdale Dr, Arlington, TX 76018-2039 | 2018-07-11 |
| 1710475595 | Ana Maria Garcia | Technician | 2207 Landmark Ct Apt B, Arlington, TX 76013-8211 | 2018-04-26 |
| 1053818872 | Rhonda Kay Ward | Technician | 911 Walters Ln, Arlington, TX 76012-4726 | 2018-04-09 |
| 1972003978 | Karen Irene Rose | Technician | 1711 England Rd, Arlington, TX 76013-3421 | 2018-02-15 |
| Find all providers in ARLINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.