Jimmilisa Totten
Contractor in Durham, NC. Individual provider (NPI-1).
NPI number1578178166
StatusActive
Last updated in NPPESSep 10, 2020
Details
- NPI
- 1578178166
- Entity type
- Individual (NPI-1)
- Name
- Jimmilisa Totten
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 10, 2020
- Certification date
- Sep 10, 2020
- Last updated
- Sep 10, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | – | NC | Yes |
Practice location
4629 Hope Valley Rd Apt ADurham, NC 27707-6611
Phone 919-597-1908
Mailing address
4629 Hope Valley Rd Apt ADurham, NC 27707-6611
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Contractor providers in Durham, NC
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All 5 Contractor providers in Durham · All 16,553 providers in Durham
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