Recita Carnella Mitchell, PHLEBOTOMIST

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

G9Z6F7T3 Issued in MO

Practice address

5419 Lilian Ave
Saint Louis, MO 63120-2322

Phone

(314) 728-2800

NPI assigned

Jul 23, 2021

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

Practice roles

Locations

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.

• RCM Mobile Laboratories LLC

  • Health Educator
  • Saint Louis, MO
  • NPI 1356009492

  Home Health

  NPD Authorized official

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1326611500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5419 LILIAN AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631202322",
            "telephone_number": "314-728-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5419 LILIAN AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631202322",
            "telephone_number": "314-728-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "RECITA",
        "middle_name": "CARNELLA",
        "name_prefix": "Miss",
        "credential": "PHLEBOTOMIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "G9Z6F7T3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine Ann Mitchell, OTR/L
• Mark Mitchell, LPC
• Melissa Ann Mitchell, PA-C
• Millicent Mitchell
• Pacquita H Mitchell
• Renita Mitchell, CNA
• Sarah Elizabeth Mitchell
• William A. Mitchell III, M.D.
• Zachary Allen Mitchell, DO
• Andrew Mitchelson, M.D.

• Home Health Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.