Islande Mitil, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

272495 Issued in NC

Practice address

2435 Lynn Rd Ste 106B
Raleigh, NC 27612-6757

Phone

(984) 242-0224

NPI assigned

Oct 19, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Island Home Care, PLLC

  • Home Health Agency
  • Raleigh, NC
  • NPI 1437779949
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1003415233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 LYNN RD STE 106B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276126757",
            "telephone_number": "984-242-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 LYNN RD STE 106B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276126757",
            "telephone_number": "984-242-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITIL",
        "first_name": "ISLANDE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "272495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Kent Mitchell, D.C.
• Trinia Mitchell, LMBT
• Tylisa Mitchell
• Delaney Mitchum, DO
• Alecia Victoria Mitiguy, MSW, LCSW-A
• Robert Kenneth Wayne Mitton III
• Tzvi Hirsch Mitzmann, BCBA
• Mixed Roots LLC
• Mizelle Psychiatric Associates
• Eric Quentin Mizelle, MD

• Registered Nurse in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.