Kelly Leshawn Mitchell, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

268539-1 Issued in NY

Practice address

238 Lawrence Ave
Apartment#9
Lawrence, NY 11559-1297

Phone

(516) 425-3686

Fax

(516) 425-3686

NPI assigned

Jul 5, 2013

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

State licenses

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

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372982400000",
    "number": "1104266188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 LAWRENCE AVE",
            "address_2": "APARTMENT#9",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591297",
            "telephone_number": "516-425-3686",
            "fax_number": "516-425-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 LAWRENCE AVE",
            "address_2": "APARTMENT#9",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591297",
            "telephone_number": "516-425-3686",
            "fax_number": "516-425-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KELLY",
        "middle_name": "LESHAWN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-05",
        "last_updated": "2013-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "268539-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avital Miller, AGNP
• Biana Miller, PA
• Howard Saul Miller, DPM
• Sarah Miller, RDN
• Danil Mishiyev, DO
• Mizraim Physical Therapy PC
• Mizraim Physical Therapy PC
• Sharon Miriam Moerman
• Jeffrey Moskovic, DDS
• Harold Mostel, DDS

• Licensed Practical Nurse in Lawrence, NY
• Providers in Lawrence, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; 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.