Individual provider Active NPI

Christine B. Mitchell, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1295219145
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP138224 Issued in TX
Practice address
2011 E Houston St
San Antonio, TX 78202-2916
Phone
(706) 442-4466
NPI assigned
Sep 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP138224 TX Primary

Addresses

Primary practice location

2011 E Houston St
San Antonio, TX 78202-2916

Mailing address

2011 E Houston St Ste 101a
San Antonio, TX 78202-2916
Phone (210) 226-1717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200714000062 TX Practitioner - Nurse Practitioner 5193148823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M Reza Mizani MD PAGroup PAC ID 5294709689, 28 clinicians

Practice addresses (Care Compare)

215 N San Saba
Suite 301
San Antonio, TX 78207-3164
Phone (210) 212-8622

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP138224TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
M. Reza Mizani, M.D., P.a. CurrentSince Jul 1, 2020 Accepting new patients
M. Reza Mizani, M.D., P.a. CurrentSince Jul 1, 2020 Accepting new patients

Locations

205 22nd St
Hondo, TX 78861
Phone (830) 426-2753

215 N San Saba
Ste 301
San Antonio, TX 78207
Phone (210) 212-8984

2011 E Houston St
Ste 101A
San Antonio, TX 78202
Phone (210) 226-1717

343 W Houston St
Ste 609
San Antonio, TX 78205
Phone (210) 212-4595

Interoperability endpoints

  • Direct secure messaging: cmitchell420838@christushealth.direct-ci.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1295219145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 E HOUSTON ST STE 101A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782022916",
            "telephone_number": "210-226-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 E HOUSTON ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782022916",
            "telephone_number": "706-442-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "CHRISTINE",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-17",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.