Kathleen Bernice Mitchell, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

214688 Issued in CA

Practice address

700 24TH St
Fort Lee, VA 23801-1716

Phone

(804) 734-9132

Fax

(804) 734-9594

NPI assigned

Oct 31, 2005

Sex

Female

Sole proprietor

No

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

Credentials

Certified Pediatric Nurse Practitioner

State licenses

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366433344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 PLANTATION CT",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238039444",
            "telephone_number": "804-722-1461",
            "fax_number": "804-722-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 24TH ST",
            "city": "FORT LEE",
            "state": "VA",
            "postal_code": "238011716",
            "telephone_number": "804-734-9132",
            "fax_number": "804-734-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KATHLEEN",
        "middle_name": "BERNICE",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "214688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Marie McCormick, PA
• Jovanka McCoy, LPN
• Patricia Mourilhe McEntire, MD
• Rhonda S McGuire
• Pamela Annette McPhearson, ACNP, CCNS, CCRN
• David Robert Moody, PH.D.
• Mark G. Moore, PA-C
• Michael Anthony Morris
• Mason Mullaney, DMD
• Celia Renee Murray, RN

• Pediatric Nurse Practitioner in Fort Lee, VA
• Providers in Fort Lee, VA by specialty
• Pediatric Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.