McKenzie Mitchell

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

1490 E Beltline Ave SE
Grand Rapids, MI 49506-4336

Phone

(630) 881-9573

NPI assigned

Mar 27, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mac Mitchell Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1114488509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 E BELTLINE AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 E BELTLINE AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064336",
            "telephone_number": "630-881-9573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10515 Laker Village Dr Apt 8D",
            "address_purpose": "LOCATION",
            "city": "Allendale",
            "state": "MI",
            "postal_code": "494018900",
            "country_code": "US",
            "telephone_number": "630-881-9573",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3904 Nighthawk Ct",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605645748",
            "country_code": "US",
            "telephone_number": "630-881-9573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MCKENZIE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAC",
            "last_name": "MITCHELL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Larry Mitchell, MA CAADC SPADA
• Latrasha Yvonne Mitchell
• Lisa A Mitchell, NURSE PRACTITIONER
• Macy Mitchell
• Mary Linnea Mitchell, MSW, LMSW
• Michael Joseph Mitchell
• Natalie Mitchell
• Pashion Renee-Marie Mitchell
• Rebecca Elyse Mitchell
• Sara Mitchell, LLPC

• Personal Care Attendant in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Personal Care Attendant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.