Patricia Lynn Gabrielle Mitlehner, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4026 Issued in NC

Practice address

1065 Vinehaven Dr
Concord, NC 28025-2439

Phone

(704) 786-9181

Fax

(704) 792-9198

NPI assigned

Mar 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• NC DHHS Child and Family Well-Being

  • Early Intervention Provider Agency
  • Concord, NC
  • NPI 1346464716
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194849992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5983 BROOK CLIFF PL",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280274602",
            "telephone_number": "704-795-1029",
            "fax_number": "704-792-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 VINEHAVEN DR",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252439",
            "telephone_number": "704-786-9181",
            "fax_number": "704-792-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITLEHNER",
        "first_name": "PATRICIA LYNN",
        "middle_name": "GABRIELLE",
        "name_prefix": "Miss",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "4026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "10113",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Miranda
• Kaimira Alicia Mitchell
• Robert Mitchell, MD
• Tamera Mitchell
• Victoria Mitchell, PHARMD
• Christopher Richard Mitromaras, MD
• Shruti Mittal, MD
• Gaven Mize
• April Foster Mizell
• Mmi Holdings LLC (Medical Modalities)

• Speech-Language Pathologist in Concord, NC
• Providers in Concord, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.