Individual provider Active NPI

Elyana Mitchell, ARNP

  • Nurse Practitioner
  • Miami Shores, FL
National Provider Identifier
1114472529
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9319994 Issued in FL
Practice address
9111 Park Dr
Miami Shores, FL 33138-3159
Phone
(305) 756-6110
Fax
(305) 759-1255
NPI assigned
Aug 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9319994 FL Primary

Addresses

Primary practice location

9111 Park Dr
Miami Shores, FL 33138-3159

Mailing address

9111 Park Dr
Miami Shores, FL 33138-3159
Phone (305) 756-6110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9319994FLMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: emitchell60918@direct.msmc.com

NPI Registry JSON

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1114472529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9111 PARK DR",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331383159",
            "telephone_number": "305-756-6110",
            "fax_number": "305-759-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9111 PARK DR",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331383159",
            "telephone_number": "305-756-6110",
            "fax_number": "305-759-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ELYANA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9319994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Shores, FL

Sources for this page

Verify at the official NPI Registry.