Active NPI
Nicole Sabrina Mitchell, FNP
- Family Nurse Practitioner
- Manor, TX
National Provider Identifier
1184107310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP138651
- Practice address
- 13208 Pine Needle St
Manor, TX 78653-5407 - Phone
- (512) 789-1525
- NPI assigned
- Sep 13, 2018
- Last updated
- Apr 9, 2025
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP138651 | TX | Primary |
Addresses
Primary practice location
13208 Pine Needle St
Manor, TX 78653-5407
Mailing address
13208 Pine Needle St
Manor, TX 78653-5407
Phone (512) 789-1525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP138651 | Other | TX | FAMILY NURSE PRACTITIONER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP138651 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744156800000",
"number": "1184107310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13208 PINE NEEDLE ST",
"city": "MANOR",
"state": "TX",
"postal_code": "786535407",
"telephone_number": "512-789-1525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13208 PINE NEEDLE ST",
"city": "MANOR",
"state": "TX",
"postal_code": "786535407",
"telephone_number": "512-789-1525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "NICOLE",
"middle_name": "SABRINA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-13",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP138651",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAMILY NURSE PRACTITIONER",
"identifier": "AP138651",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manor, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.