Anjelette Fae Mitchell, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL00003465 Issued in WA

Practice address

11415 NE 128TH St
Suite 10
Kirkland, WA 98034-6314

Phone

(425) 785-9169

Fax

(425) 242-5969

NPI assigned

Jun 29, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1013114248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11415 NE 128TH ST",
            "address_2": "SUITE 10",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346314",
            "telephone_number": "425-785-9169",
            "fax_number": "425-242-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11415 NE 128TH ST",
            "address_2": "SUITE 10",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346314",
            "telephone_number": "425-785-9169",
            "fax_number": "425-242-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ANJELETTE",
        "middle_name": "FAE",
        "name_prefix": "Ms.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00003465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8422131",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garland Minor
• David George Mioduski, L. AC.
• Cora Belle Miranda
• Michelle Ariadna Miranda
• Rayna Mitchell-Rose
• Jenna Catherine Mitchell
• Lauren Elise Mitchell
• Laurel A Mitzel, LMP
• Jerry Nelson Mixon, MD
• Dale Yoshi Miyauchi, MD

• Speech-Language Pathologist in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.