Active NPI
Chelsea Mitcham
- Certified Respiratory Therapist
- Miami Lakes, FL
National Provider Identifier
1285317099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Respiratory Therapist
- License
- TT17091
- Practice address
- 14001 NW 82ND Ave
Miami Lakes, FL 33016-1561 - Phone
- (786) 609-9200
- NPI assigned
- Aug 8, 2023
- 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 |
|---|---|---|---|---|
| Certified Respiratory Therapist | 227800000X | TT17091 | VA | Primary |
Addresses
Primary practice location
14001 NW 82ND Ave
Miami Lakes, FL 33016-1561
Mailing address
3575 NW 13TH St
Lauderhill, FL 33311-8338
Phone (202) 341-7228
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 |
|---|---|---|---|
| TT17091 | VA | MD | Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1285317099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3575 NW 13TH ST",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333118338",
"telephone_number": "202-341-7228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14001 NW 82ND AVE",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330161561",
"telephone_number": "786-609-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHAM",
"first_name": "CHELSEA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-08",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "227800000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified",
"state": "VA",
"license": "TT17091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.