Active NPI
Laura Mitchell
- Occupational Therapist
- Goldsboro, NC
National Provider Identifier
1174716088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 2401 Wayne Memorial Dr
Goldsboro, NC 27534-1727 - Phone
- (919) 735-2121
- NPI assigned
- Aug 23, 2007
- Last updated
- Feb 25, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
2401 Wayne Memorial Dr
Goldsboro, NC 27534-1727
Mailing address
1202 S Best St
Goldsboro, NC 27530-6704
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7301297 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235520000000",
"number": "1174716088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 S BEST ST",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275306704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 WAYNE MEMORIAL DR",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275341727",
"telephone_number": "919-735-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "LAURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-23",
"last_updated": "2009-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7301297",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Goldsboro, NC
- Theresa Mae S Misperos, CADC-R
- Mitchell Eye Center DRS. Mitchell, Mitchell & Assoc, Optometrists P.a. (Mitchell Eye Center)
- Frank Bradley Mitchell, DDS PA
- Freddie Lamont Mitchell, OD
- Kendall Ann Mitchell, D.D.S.
- William Earl Mitchell, OD
- Megan Moeller, L.P.C.
- Aminu Isyaku Mohammed, M.D.
- Monarch
- Belinda Jacobs Montanez, BA, ITFS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.