Sabrina Mitchell, NP

Key facts

NPI

1174501407

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

0024164889 (VA)

Practice address

1389 Dante Road
St. Paul, VA 24283-3658

Phone

(276) 762-0770

Fax

(276) 546-9711

NPI assigned

Jan 6, 2006

Sex

Female

Sole proprietor

No

Organizations & group practices 6

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.

• St. Charles Health Council Inc Federally Qualified Health Center (FQHC) · Vansant, VA · NPI 1801013354
  Medicare reassignment NPD VA
• St Charles Health Council Inc Federally Qualified Health Center (FQHC) · St Paul, VA · NPI 1710104260
  NPD
• St Charles Health Council Inc Federally Qualified Health Center (FQHC) · Coeburn, VA · NPI 1942322003
  NPD
• St. Charles Health Council, Inc Pharmacy · Ewing, VA · NPI 1275594095
  NPD (past)
• Occupational Alternative and Rehabilitative Services, PC Physical Medicine & Rehabilitation Physician · Chattanooga, TN · NPI 1487743449
  NPD (past)
• Southern Rehabilitation Group, PLLC Physical Medicine & Rehabilitation Physician · Chattanooga, TN · NPI 1609965656
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 20, 2021.

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1174501407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1389 DANTE ROAD",
            "city": "ST. PAUL",
            "state": "VA",
            "postal_code": "242833658",
            "telephone_number": "276-762-0770",
            "fax_number": "276-546-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1389 DANTE ROAD",
            "city": "ST. PAUL",
            "state": "VA",
            "postal_code": "242833658",
            "telephone_number": "276-762-0770",
            "fax_number": "276-546-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "SABRINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2021-10-20",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024164889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Paul, VA

• Andrea Johnson, PHARM.D.
• K-VA-T Food Stores Inc
• Julie Large, PHARM D
• Derek Lester McCowan
• Anthony D Meade
• Mountain States Health Alliance
• Mountain States Health Alliance
• Mountain States Health Alliance
• Oxbow Corporation
• Ryan Lowry Patrick, PHARM. D

All providers in St. Paul, VA · Family Nurse Practitioner in Virginia