Lisa A Mitchell, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704254454 Issued in MI

Practice address

2320 E Beltline Ave SE
Heartland Care Partners
Grand Rapids, MI 49546-5906

Phone

(800) 427-1902

Fax

(419) 531-2664

NPI assigned

Feb 28, 2017

Sex

Female

Sole proprietor

No

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

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lmitchell@landmarkhealth-direct.org

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.

• Ih Physician Services PC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Clinton Township, MI
  • NPI 1881432060
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  MI, Nurse Practitioner

  Medicare reassignment NPD
• Ih Physician Services, PC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Knoxville, TN
  • NPI 1770469389
  NPD

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1255871968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST FL 7",
            "address_2": "HCR MANORCARE MEDICAL SERVICES / HEARTLAND CARE PARTNER",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436042615",
            "telephone_number": "800-427-1902",
            "fax_number": "419-531-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 E BELTLINE AVE SE",
            "address_2": "HEARTLAND CARE PARTNERS",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465906",
            "telephone_number": "800-427-1902",
            "fax_number": "419-531-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704254454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jade Mitchell
• Janet Mitchell, RN, WHNP
• John B Mitchell, MD
• Larry Mitchell, MA CAADC SPADA
• Latrasha Yvonne Mitchell
• Macy Mitchell
• Mary Linnea Mitchell, MSW, LMSW
• McKenzie Mitchell
• Michael Joseph Mitchell
• Natalie Mitchell

• Nurse Practitioner in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.