TED MIMS (NPI# 1477892438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477892438 |
| Entity Type | Individual |
| Full Name | TED MIMS |
| Practice Address |
1831 Gilmore Ave Lakeland FL 33805-3017 |
| Mailing Address |
Po Box 1559 Bartow FL 33831-1559 |
| Practice Telephone | 8635190575 |
| Practice Fax Number | 8635829251 |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2013-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1831 GILMORE AVE |
| City | LAKELAND |
| State | FL |
| Zip Code | 33805-3017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558357418 | Mavra E Kear | Nurse Practitioner | 1831 Gilmore Ave, Lakeland, FL 33805-3017 | 2005-09-26 |
| 1013530641 | Heather Allyn Williams | Licensed Practical Nurse | 1831 Gilmore Ave, Lakeland, FL 33805-3017 | 2020-05-18 |
| 1518365758 | Felicia Alice Henry | Licensed Practical Nurse | 1831 Gilmore Ave, Lakeland, FL 33805-3017 | 2014-12-19 |
| 1669889499 | Ladaisha Jones | Licensed Practical Nurse | 1831 Gilmore Ave, Lakeland, FL 33805-3017 | 2014-07-14 |
| 1841602307 | Shambrea L Smith | Licensed Practical Nurse | 1831 Gilmore Ave, Lakeland, FL 33805-3017 | 2014-06-02 |
| 1831519545 | Jeanette Lewis | Licensed Practical Nurse | 1831 Gilmore Ave, Lakeland, FL 33805-3017 | 2014-04-21 |
| 1922347988 | Sonia Laboy | Case Manager/Care Coordinator | 1831 Gilmore Ave, Lakeland, FL 33805-3017 | 2013-02-11 |
| 1710225701 | Karen Moore | Registered Nurse | 1831 Gilmore Ave, Lakeland, FL 33805-3017 | 2013-01-25 |
| 1487903605 | Sharon Margaret Jacob | Nurse Practitioner | 1831 Gilmore Ave, Lakeland, FL 33805 | 2012-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
| 1912546631 | Francis Esperanzate | Physical Therapist | 5070 Menlo Parke Way, Lakeland, FL 33805 | 2019-12-27 |
| 1689232514 | Anointed Touch | Home Health | 617 S Robson Street, Lakeland, FL 33805 | 2019-06-05 |
| 1083160642 | Cherlande Pierre | Chiropractor | 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 | 2016-09-01 |
| 1992251706 | Damaris Salmeron | Physical Therapy Assistant | 3127 Us Hwy 98 N, Lakeland, FL 33805 | 2016-08-31 |
| 1831589076 | Sarah Mcneill | Pharmacist | 3124 Lakeland Hills Blvd, Lakeland, FL 33805 | 2015-01-26 |
| 1750706479 | Alison M Busby | Counselor | Achievement Academy Inc, 716 E. Bella Vista St, Lakeland, FL 33805 | 2014-03-04 |
| 1174872907 | William Vargas, M.d. P. A. | Anesthesiology | 202 Parkview Place, Lakeland, FL 33805 | 2012-09-07 |
| 1184998056 | Eduardo Francisco Lopez Garcia | Internal Medicine | 135 E First Street, Lakeland, FL 33805 | 2012-02-24 |
| 1255625513 | Navdeep Singh Jassal | Physical Medicine & Rehabilitation | 1417 Lakeland Hills Blvd Ste 201, Lakeland, FL 33805 | 2011-06-04 |
| Find all providers in zip 33805 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467919332 | Lynnette Joanne Kovar | Case Manager/Care Coordinator | 1166 Thomasville Cir, Lakeland, FL 33811-3403 | 2019-02-26 |
| 1841718004 | Stefani Beth Savage | Case Manager/Care Coordinator | 3520 Cleveland Heights Blvd Apt 133, Lakeland, FL 33803-4877 | 2017-09-07 |
| 1609243781 | Berlendah Gadson | Case Manager/Care Coordinator | 4211 Hancock Ave Se Apt 31, Lakeland, FL 33812-6339 | 2015-08-25 |
| 1477942225 | Rose Durand | Case Manager/Care Coordinator | 6420 Timucuans Dr, Lakeland, FL 33813-3798 | 2015-01-16 |
| 1861740839 | Venesia Carter | Case Manager/Care Coordinator | 815 N Lorri Ave, Lakeland, FL 33815-1273 | 2012-08-26 |
| 1386946184 | Aimee Wright Trott | Case Manager/Care Coordinator | 2011 Windward Pass, Lakeland, FL 33813-1335 | 2010-11-30 |
| 1265758155 | John Sargeant | Case Manager/Care Coordinator | 217 N Wabash Ave, Lakeland, FL 33815-7370 | 2010-04-16 |
| 1063694701 | Carmen Cay Marino | Case Manager/Care Coordinator | 1653 Mahaffey Cir, Lakeland, FL 33811-4419 | 2007-12-05 |
| 1790811164 | Angela Sawyer | Case Manager/Care Coordinator | 621 N Lake Parker Ave, Lakeland, FL 33801-2040 | 2007-02-27 |
| 1790384766 | Heather Camp | Case Manager/Care Coordinator | 621 N Lake Parker Ave, Lakeland, FL 33801-2040 | 2020-10-21 |
| Find all providers in LAKELAND | ||||
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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.