Audrey Lee Mitchell

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86006688 Issued in CA

Practice address

27300 Iris Ave
Moreno Valley, CA 92555-4802

Phone

(951) 660-1431

NPI assigned

Dec 5, 2024

Sex

Female

Sole proprietor

Yes

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

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": "1733356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1306652268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10137 VIA PESCADERO",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925572742",
            "telephone_number": "951-660-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27300 IRIS AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925554802",
            "telephone_number": "951-660-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "AUDREY LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86006688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Miranda
• Jacqueline Miranda
• Kelly Miranda, PA-C, MPT
• Saira Deyanira Miranda
• Tairy Miranda
• Eudora Mitchell
• Melissa Marie Mitchell, PHARM.D.
• Neela Lamaya Mitchell
• Aarti C Mittal, D.O.
• MLT Kidane Physician Assistant Corporation

• Registered Dietitian in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.