Eileen Mitchell

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

4080 E Lake Mead Blvd Ste B-111
Las Vegas, NV 89115-6466

Phone

(702) 531-9344

NPI assigned

Jun 23, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1184293045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 E LAKE MEAD BLVD STE B-111",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891156466",
            "telephone_number": "702-531-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 E LAKE MEAD BLVD STE B-111",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891156466",
            "telephone_number": "702-531-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "EILEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7026298226",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "LASVEGAS",
            "affiliation": "N",
            "address_1": "4080 E Lake Mead Blvd Ste B-111",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891156466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Denise Mitchell
• Dennis Mitchell
• Dimaggio Terrell Mitchell
• Dionne Erika Janicee Marie Mitchell
• Driana Mitchell
• Errin Mitchell, M.D.
• Fatima Mitchell
• Francine Mitchell
• Hazel Lynn Mitchell
• Heather Beth Mitchell

• Personal Care Attendant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Personal Care Attendant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.