Active NPI
Mark Mitchell, AGACNP
- Acute Care Nurse Practitioner
- San Antonio, TX
National Provider Identifier
1205378957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- AP132560
- Practice address
- 311 Camden St
San Antonio, TX 78215-2012 - Phone
- (210) 281-9800
- NPI assigned
- Nov 12, 2016
- Last updated
- Nov 12, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | AP132560 | TX | Primary |
Addresses
Primary practice location
311 Camden St
San Antonio, TX 78215-2012
Mailing address
13210 Loma Chica
San Antonio, TX 78233-2444
Phone (914) 420-0485
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP132560 | TX | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHS Physicians Network, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Orthopedic Performance Institute
- Durable Medical Equipment & Medical Supplies
- Boerne, TX
- NPI 1730079286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478908800000",
"number": "1205378957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13210 LOMA CHICA",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782332444",
"telephone_number": "914-420-0485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 CAMDEN ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782152012",
"telephone_number": "210-281-9800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "MARK",
"credential": "AGACNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-12",
"last_updated": "2016-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "AP132560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.