Kathryn Mitchell, RN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R188692 Issued in MD

Practice address

19703 Executive Park Cir
Germantown, MD 20874-2639

Phone

(205) 968-8360

NPI assigned

Mar 28, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Clinical Nurse Specialist (CNS)

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advanced Medical Care LLCGroup PAC ID 6204875396, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Registered Nurse

State licenses

Practice roles

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

• Advanced Medical Care LLC

  • Internal Medicine Physician
  • Germantown, MD
  • NPI 1730398538

  DC

  Medicare reassignment Care Compare group
• Advanced Medical Care LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Germantown, MD
  • NPI 1184403214

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1205008380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19701 EXECUTIVE PARK CIR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742639",
            "telephone_number": "301-946-6623",
            "fax_number": "301-946-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19703 EXECUTIVE PARK CIR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742639",
            "telephone_number": "205-968-8360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3925 Ferrara Dr",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209064709",
            "country_code": "US",
            "telephone_number": "301-946-6623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KATHRYN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-28",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "WV",
            "license": "R188692",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MD",
            "license": "R188692",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R188692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "881827400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn-Renee Miller, PT
• Lauren Miller
• Corrinne Millette, LCSW-C
• Kimia Mirala
• Gillian Mitchell
• Sara Mitchell
• Mobile Medical Care, Inc.
• Jinkle Mody
• Samaaneh Moezzi
• Seema Mohabat, PT

• Psychiatric/Mental Health Nurse Practitioner in Germantown, MD
• Providers in Germantown, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.