Active NPI
Sherry L Mitchell, PNP
- Pediatric Nurse Practitioner
- Hammond, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN324527
- Practice address
- 42124 Veterans Ave
Hammond, LA 70403-1427 - Phone
- (985) 543-0563
- NPI assigned
- May 1, 2013
- Last updated
- Jul 30, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 209010401 | IL | |
| Pediatric Nurse Practitioner | 363LP0200X | AP6153977 | WA | |
| Pediatric Nurse Practitioner | 363LP0200X | RN324527 | GA | Primary |
Addresses
Primary practice location
42124 Veterans Ave
Hammond, LA 70403-1427
Mailing address
491 Howell Mill Dr
Sautee Nacoochee, GA 30571-2228
Phone (757) 291-0246
Other practice location 1
340 Magnolia Cir
Tyndall AFB, FL 32403-5604
Phone (850) 283-2778
Other practice location 2
5955 Zeamer Avenue
673 MDG
Jber, AK 99506-9997
Phone (907) 580-2908
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN324527 | GA | MD | Pediatric Nurse Practitioner |
| AP6153977 | WA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sea Mar Community Health Centers | Current | Accepting new patients | |
| Central Washington Health Services Association | Current | Accepting new patients | |
| Sea Mar Community Health Centers | Current | Accepting new patients | |
| Sea Mar Community Health Centers | Current | Accepting new patients | |
| Children's International, LLC | Past | Accepting new patients |
Locations
1400 N Laventure Rd
Mount Vernon, WA 98273
Phone (360) 428-4075
7424 Bridgeport Way W
Tacoma, WA 98499
Phone (253) 581-2111
933 Red Apple Rd
Wenatchee, WA 98801
Phone (509) 655-6125
Interoperability endpoints
- smitchell@southernmdpeds.opdirect.net
- smitchell101316@edirect.chehr.org
- smitchell777969@direct.multicare.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sea Mar Community Health Center
- Federally Qualified Health Center (FQHC)
- Aberdeen, WA
- NPI 1811051170
-
dba Confluence Health
- Emergency Medical Services (Emergency Medicine) Physician
- Wenatchee, WA
- NPI 1801937453
-
- Federally Qualified Health Center (FQHC)
- Lakewood, WA
- NPI 1699394767
-
- Federally Qualified Health Center (FQHC)
- Spanaway, WA
- NPI 1922624642
-
- Primary Care Clinic/Center
- Hammond, LA
- NPI 1821529728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753833600000",
"number": "1306281605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "491 HOWELL MILL DR",
"city": "SAUTEE NACOOCHEE",
"state": "GA",
"postal_code": "305712228",
"telephone_number": "757-291-0246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42124 VETERANS AVE",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704031427",
"telephone_number": "985-543-0563"
}
],
"practiceLocations": [
{
"address_1": "340 Magnolia Cir",
"address_purpose": "LOCATION",
"city": "Tyndall AFB",
"state": "FL",
"postal_code": "324035604",
"country_code": "US",
"telephone_number": "850-283-2778",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5955 ZEAMER AVENUE",
"address_2": "673 MDG",
"address_purpose": "LOCATION",
"city": "JBER",
"state": "AK",
"postal_code": "995069997",
"country_code": "US",
"telephone_number": "907-580-2908",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITCHELL",
"first_name": "SHERRY",
"middle_name": "L",
"credential": "PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-01",
"last_updated": "2025-07-30",
"certification_date": "2025-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "IL",
"license": "209010401",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "WA",
"license": "AP6153977",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "GA",
"license": "RN324527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.