Active NPI
Camisha Mitchell, CHW/CPW
- Community Health Worker
- Denton, TX
National Provider Identifier
1316756018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 7975
- Practice address
- 3505 Hudsonwood Dr Apt 10206
Denton, TX 76208-6168 - Phone
- (940) 465-1221
- NPI assigned
- Jan 6, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 7975 | TX | Primary |
Addresses
Primary practice location
3505 Hudsonwood Dr Apt 10206
Denton, TX 76208-6168
Mailing address
3505 Hudsonwood Dr Apt 10206
Denton, TX 76208-6168
Phone (940) 465-1221
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 |
|---|---|---|---|
| 7975 | TX | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1316756018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3505 HUDSONWOOD DR APT 10206",
"city": "DENTON",
"state": "TX",
"postal_code": "762086168",
"telephone_number": "940-465-1221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 HUDSONWOOD DR APT 10206",
"city": "DENTON",
"state": "TX",
"postal_code": "762086168",
"telephone_number": "940-465-1221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "CAMISHA",
"credential": "CHW/CPW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-06",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "TX",
"license": "7975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.