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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

STACI R MIMS
NPI 1417874074
Nurse Practitioner - Women's Health in Washington, DC

Active since July 02, 2026
3700 RESERVOIR RD NW, WASHINGTON, DC 20007(202) 687-0100 Get Directions Write a Review

NPPES record added: July 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Staci R Mims NPPES

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

STACI R MIMS (NPI 1417874074) is an individual women's health provider in Washington, District Of Columbia, licensed in Florida (RN959015) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1417874074
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameSTACI R MIMS
Location Address3700 RESERVOIR RD NWWashington, DC 20007-2111
Mailing Address5229 Millenia Blvd Apt 104Orlando, FL 32839-6145 · (559) 392-4531
Phone(202) 687-0100
Sole ProprietorYes
Enumeration DateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
✔ NPI 1417874074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in FL · RN959015
3700 RESERVOIR RD NW, Washington, DC 20007
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

CATHERINE ANGIERS
Registered Nurse
3700 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 687-3118
COURTNEY SWEDEEN RN
Registered Nurse
3700 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 687-6949
ELENA SMITH-MOULDEN
Registered Nurse
3700 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 687-0100
AMY BROWN
Registered Nurse
3700 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (410) 562-2205
GENEVIEVE ARDILA
Student in an Organized Health Care Education/Training Program
3700 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (786) 374-8488
GEORGETOWN UNIVERSITY
Registered Nurse
3700 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 687-3912
JILLIAN ANN DEMPSEY
Registered Nurse
3700 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 687-3118
MORGAN STALEY
Nurse Anesthetist, Certified Registered
3700 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 687-3118

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 Staci Mims's NPI number?

The NPI number for Staci Mims is 1417874074. It was assigned to this individual provider in the NPPES registry on July 2, 2026.

Where is Staci Mims located?

Staci Mims practices at 3700 Reservoir Rd NW, Washington, DC 20007. The listed phone number is (202) 687-0100.

What is Staci Mims's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Staci Mims was last updated on July 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.