MARISA EMMA FORD-MIMMS
NPI 1073955704
Licensed Practical Nurse in Tawling, NY

Q: What is Marisa Ford-mimms's NPI number?

The NPI number for Marisa Ford-mimms is 1073955704. It was assigned to this individual provider in the NPPES registry on July 23, 2013. The provider is also known as Marisa Emma Ford Lpn.

Q: What is Marisa Ford-mimms's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Marisa Ford-mimms was last updated on July 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 23, 2013

9 RESERVOIR RD, TAWLING, NY 12564(845) 855-5700 Get Directions Write a Review

NPPES record last updated: July 23, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Marisa Emma Ford-mimms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISA EMMA FORD-MIMMS (NPI 1073955704) is an individual licensed practical nurse in Tawling, New York, licensed in New York (305728-1) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1073955704

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMARISA EMMA FORD-MIMMS

Location Address9 RESERVOIR RDTawling, NY 12564

Mailing Address22 Davis St., Apt. 2Beacon, NY 12508 · (845) 549-9982

Phone(845) 855-5700

Sole ProprietorYes

Enumeration DateJuly 23, 2013

✔ NPI 1073955704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 305728-1

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

9 RESERVOIR RD, Tawling, NY 12564

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Other Names 1

Former Name (1)Marisa Emma Ford Lpn

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CENTER FOR REHABILITATION AND HEALTHCARE AT DUTCHESS LLC

Nursing Facility/Intermediate Care Facility

9 RESERVOIR RD
PAWLING, NY 12564

Dutchess County (845) 855-5700

DR. JODHVIR SINGH MANGAT MD

Internal Medicine

9 RESERVOIR RD
PAWLING, NY 12564

Dutchess County (845) 855-5700

DR. ANTHONY GERARD INFANTINO MD

Physical Medicine & Rehabilitation (Sports Medicine)

9 RESERVOIR RD
PAWLING, NY 12564

Dutchess County (872) 231-3162

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marisa Ford-mimms's NPI number?

The NPI number for Marisa Ford-mimms is 1073955704. It was assigned to this individual provider in the NPPES registry on July 23, 2013. The provider is also known as Marisa Emma Ford Lpn.

Where is Marisa Ford-mimms located?

Marisa Ford-mimms practices at 9 Reservoir Rd, Tawling, NY 12564. The listed phone number is (845) 855-5700.

What is Marisa Ford-mimms's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Marisa Ford-mimms was last updated on July 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.