Kiah Mitchell, LPN

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

299726-1 Issued in NY

Practice address

723 Caroline Ave
Valley Stream, NY 11580-1226

Phone

(516) 872-4251

NPI assigned

Nov 22, 2014

Last updated

Nov 22, 2014By the provider in NPPES

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

Practice roles

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

• Sensacare Inc

  • Licensed Practical Nurse
  • Valley Stream, NY
  • NPI 1104277144
  NPD (past) Authorized official

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

{
    "created_epoch": "1416614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416614400000",
    "number": "1073910857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 CAROLINE AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 CAROLINE AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801226",
            "telephone_number": "516-872-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KIAH",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-22",
        "last_updated": "2014-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NY",
            "license": "299726-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn Harvey Mintz, RPH
• Sue P. Mintz, DLCSW
• Miracle Hill LLC
• Miriam Simon, Inc.
• Joshua Michael Mirsky, LCSW, CCM
• William A Mittler, D.D.S.,M.S.
• Lenke Mizrachi-Florentziu, NP
• MKR Medical PC
• Marzena Mleczko, DPM
• Natan Mlenarsky

• Nursing Facility/Intermediate Care Facility in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Nursing Facility/Intermediate Care Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.