Stephanie Mitchell, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5236057 Issued in FL

Practice address

1601 E Pythian St
Springfield, MO 65802-2141

Phone

(417) 895-6848

NPI assigned

Sep 5, 2024

Last updated

Sep 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1235964529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3679 W STATE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658025782",
            "telephone_number": "352-734-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E PYTHIAN ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658022141",
            "telephone_number": "417-895-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "STEPHANIE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5236057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karyn Jean Mitchell
• Laurae N. Mitchell, PA
• Mariah Mitchell
• Royal Wade Mitchell, DDS
• Shelley Jenee Mitchell, CNM
• Mitchell's Care Center LLC (Golden Estate Residential Care)
• Tara Marie Mitchem, PT, DPT
• Sarah Elizabeth Mittelstadt, COTA/L
• Myron W. Mizell, MD
• Amanda Lea Mizer, BCBA

• Licensed Practical Nurse in Springfield, MO
• Providers in Springfield, MO by specialty
• Licensed Practical Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.