Regina Mitchell, L.P.N

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2-054230 Issued in AL

Practice address

5853 Brewbaker Blvd
Montgomery, AL 36116-4259

Phone

(334) 316-5080

NPI assigned

Aug 30, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Avesta Care Medical Staffing, LLC

  • Licensed Practical Nurse
  • Montgomery, AL
  • NPI 1326522004
  NPD Authorized official
• Avesta Care Medical Staffing, LLC

  • Nursing Care Agency
  • Montgomery, AL
  • NPI 1447016563

  Licensed Practical Nurse

  NPD Authorized official

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1164904660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5853 BREWBAKER BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361164259",
            "telephone_number": "334-316-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5853 BREWBAKER BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361164259",
            "telephone_number": "334-316-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "REGINA",
        "credential": "L.P.N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "201707302",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AL",
            "license": "2-054230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Mitchell, PT, DPT
• Jessica Marie Mitchell, CRNP, FNP
• Mildres Arlette Mitchell
• Paris Mitchell
• Rachel Mitchell
• Savannah Mitchell
• Susan Hamilton Mitchell, CRNA
• Tom L Mitchell Jr., MD
• Arceanas Mitchum
• Mobility Rehab LLC

• Licensed Practical Nurse in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Licensed Practical Nurse in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.