Vanessa Ann Mitchell, LMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA64397 Issued in FL

Practice address

115 E Granada Blvd Ste 9&10
Ormond Beach, FL 32176-6680

Phone

(386) 641-0837

NPI assigned

Aug 13, 2011

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1313193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313193600000",
    "number": "1023397643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 FERNWAY DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321746046",
            "telephone_number": "386-631-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E GRANADA BLVD STE 9&10",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321766680",
            "telephone_number": "386-641-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "VANESSA",
        "middle_name": "ANN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-13",
        "last_updated": "2011-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "MA64397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge Luis Anibal Mirabelli, M.D.
• Joseph Peter Mirante, MD
• Misago Home Care, Inc
• Cynthia L Mitchell, APRN
• Julianne Mitchell, APRN
• Mobile Health Solutions Inc
• Mobile Therapy Services LLC
• Stephanie Lynn Monahan, A.R.N.P.
• Joanne Mora, P.A.-C
• Elizabeth Anne Morejon, DMD

• Specialist in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2011; 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.