Kelly Mitchell

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

DL390 Issued in ME

Practice address

144 US Route 1
Scarborough, ME 04074

Phone

(207) 415-4841

NPI assigned

Dec 1, 2021

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 names 1

• Kelly Nelson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00039
• FHIR API: https://fhir4.healow.com/fhir/r4/ICEGBD

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.

• Benjamin Liess ENT LLC

  • Otolaryngology Physician
  • Scarborough, ME
  • NPI 1518431642
  NPD
• Camden Dermatology & Mohs Surgery LLC

  • MOHS-Micrographic Surgery Physician
  • Rockport, ME
  • NPI 1215440011
  NPD

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1013675677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 US ROUTE 1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "04074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 US ROUTE 1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "04074",
            "telephone_number": "207-415-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "ME",
            "license": "DL390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "NELSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephen C. Mills, DDS
• Hannah Marie Millstine, AUD
• Kaitlin Minnehan, M.D.
• Andrea Mitchell
• Jodi R Mitchell, ATC
• Robert James Mitchell, D.D.S.
• Nathan A Mitnick, MS
• Marijana Mitrovic
• MMS Southern Maine, Inc.
• Mobile Eye Care of Maine, LLC

• All providers in Scarborough, ME
• Hearing Instrument Specialist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.