Individual provider Active NPI

Lindsay Rachel Mitchell, CRNP

  • Nurse Practitioner
  • Alexander City, AL
National Provider Identifier
1225418288
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-128197 Issued in AL
Practice address
815 Lee Street
Alexander City, AL 35010
Phone
(256) 212-9300
Fax
(256) 212-9363
NPI assigned
Jun 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Clinical Nurse Specialist 364SC0200X 1-128197 AL
Nurse Practitioner 363L00000X 1-128197 AL Primary

Addresses

Primary practice location

815 Lee Street
Alexander City, AL 35010

Mailing address

815 Lee Street
Alexander City, AL 35010
Phone (256) 212-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20150803002902 AL Practitioner - Nurse Practitioner 0547574659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Basel Refai MD PCGroup PAC ID 2769433903, 4 clinicians

Practice addresses (Care Compare)

1825 Halcyon Blvd
Montgomery, AL 36117-8044
Phone (256) 212-9300

815 Lee St
Alexander City, AL 35010-3444
Phone (256) 212-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Basel Refai MD PC CurrentSince Oct 12, 2021 Accepting new patients

Locations

1825 Halcyon Blvd
Montgomery, AL 36117
Phone (256) 212-9300

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/65979035-1557-4261-8de9-caa332ef8187/

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.

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1225418288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 LEE STREET",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "35010",
            "telephone_number": "256-212-9300",
            "fax_number": "256-212-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 LEE STREET",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "35010",
            "telephone_number": "256-212-9300",
            "fax_number": "256-212-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "LINDSAY",
        "middle_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Critical Care Medicine",
            "state": "AL",
            "license": "1-128197",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-128197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexander City, AL

Sources for this page

Verify at the official NPI Registry.