Active NPI
Sandra Rodriguez Mitchell, NURSE
- Pediatric Registered Nurse
- Kingsland, GA
National Provider Identifier
1205802451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Registered Nurse
- License
- 260444
- Practice address
- 148 Lake Manor Dr
Kingsland, GA 31548-6274 - Phone
- (912) 573-4220
- NPI assigned
- Feb 27, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 260444 | NY | Primary |
Addresses
Primary practice location
148 Lake Manor Dr
Kingsland, GA 31548-6274
Mailing address
148 Lake Manor Dr
Kingsland, GA 31548-6274
Phone (912) 573-4220
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 260444 | NY | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1205802451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 LAKE MANOR DR",
"city": "KINGSLAND",
"state": "GA",
"postal_code": "315486274",
"telephone_number": "912-573-4220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 LAKE MANOR DR",
"city": "KINGSLAND",
"state": "GA",
"postal_code": "315486274",
"telephone_number": "912-573-4220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "SANDRA",
"middle_name": "RODRIGUEZ",
"name_prefix": "Mrs.",
"credential": "NURSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "NY",
"license": "260444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingsland, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.