What is Mimzy Bohannon's NPI number?

Mimzy Bohannon's National Provider Identifier (NPI) is 1912692807, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mimzy Bohannon's specialty?

Mimzy Bohannon is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).

Where is Mimzy Bohannon located?

Mimzy Bohannon's practice location on file with NPPES is 1540 Trinity Pl, Mishawaka, IN 46545-5006.

What is Mimzy Bohannon's phone number?

The practice phone number listed in the NPPES registry for Mimzy Bohannon is (574) 272-9000.

Is Mimzy Bohannon's NPI active?

Yes — Mimzy Bohannon's NPI (1912692807) is active in the NPPES registry as of the last update on 2023-04-07.

IndividualActive

Mimzy Bohannon

NPI 1912692807 · Licensed Practical Nurse · Mishawaka, IN

Mimzy Bohannon is a Licensed Practical Nurse provider in Mishawaka, IN (NPI 1912692807).

Provider details

NPI number: 1912692807
Entity type: Individual
Primary specialty: Licensed Practical NurseNursing Service Providers
Sex: Female
Sole proprietor: Yes
License: 27067174A (IN)

Specialties & taxonomies

Licensed Practical NursePrimary164W00000XLicense 27067174A (IN)
Nursing Service Providers

Profile Score

Established profile(58/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
3 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

1540 Trinity Pl

Mishawaka, IN 46545-5006

Phone: (574) 272-9000

Fax: (574) 272-9298

Street-level locationGet directions

Mailing address