Individual provider Active NPI

Dejalyn Mitchell

  • Case Manager/Care Coordinator
  • New Orleans, LA
National Provider Identifier
1194278119
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
200 S Broad St Ste 7
New Orleans, LA 70119-6447
Phone
(504) 309-9991
NPI assigned
Jul 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

200 S Broad St Ste 7
New Orleans, LA 70119-6447

Mailing address

200 S Broad St Ste 7
New Orleans, LA 70119-6447
Phone (504) 309-9991

Other practice location 1

201 Saint Charles Ave
Suite 2500
New Orleans, LA 70170-1000
Phone (504) 475-5303

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": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1194278119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S BROAD ST STE 7",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196447",
            "telephone_number": "504-309-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S BROAD ST STE 7",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196447",
            "telephone_number": "504-309-9991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Saint Charles Ave",
            "address_2": "Suite 2500",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701701000",
            "country_code": "US",
            "telephone_number": "504-475-5303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "DEJALYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.