IndividualActive
Marisa Ford-Mimms
NPI 1073955704 · Licensed Practical Nurse · Tawling, NY
Marisa Ford-Mimms is a Licensed Practical Nurse provider in Tawling, NY (NPI 1073955704).
Provider details
- NPI number
- 1073955704
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 305728-1 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9 Reservoir Rd
Tawling, NY 12564
Phone: (845) 855-5700
Street-level locationGet directions
Mailing address
22 Davis St.
Beacon, NY 12508
Registry dates
- Enumerated
- 2013-07-23
- Last updated
- 2013-07-23
Frequently asked questions
- What is Marisa Ford-Mimms's NPI number?
- Marisa Ford-Mimms's National Provider Identifier (NPI) is 1073955704, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marisa Ford-Mimms's specialty?
- Marisa Ford-Mimms is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Marisa Ford-Mimms located?
- Marisa Ford-Mimms's practice location on file with NPPES is 9 Reservoir Rd, Tawling, NY 12564.
- What is Marisa Ford-Mimms's phone number?
- The practice phone number listed in the NPPES registry for Marisa Ford-Mimms is (845) 855-5700.
- Is Marisa Ford-Mimms's NPI active?
- Yes — Marisa Ford-Mimms's NPI (1073955704) is active in the NPPES registry as of the last update on 2013-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.