Sarah Elizabeth Mitchell

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2012032816 Issued in MO

Practice address

12563 Village Circle Dr
Saint Louis, MO 63127-1758

Phone

(314) 270-7164

NPI assigned

Feb 19, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1255924379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12563 VILLAGE CIRCLE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271758",
            "telephone_number": "314-270-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12563 VILLAGE CIRCLE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271758",
            "telephone_number": "314-270-7164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15201 Olive Blvd",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "630171810",
            "country_code": "US",
            "telephone_number": "636-733-0769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.006990",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2012032816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Mitchell, PA-C
• Millicent Mitchell
• Pacquita H Mitchell
• Recita Carnella Mitchell, PHLEBOTOMIST
• Renita Mitchell, CNA
• William A. Mitchell III, M.D.
• Zachary Allen Mitchell, DO
• Andrew Mitchelson, M.D.
• Jonathan B Mitchem, M.D.
• Jon-Pierre Mitchom, L.P.C

• Registered Dietitian in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.