Individual provider Active NPI

Cheryl D. Mitchell, AG-ACNP-BC

  • Acute Care Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1376081752
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP132639 Issued in TX
Practice address
3311 Little Rd
Arlington, TX 76016-2241
Phone
(817) 496-1919
Fax
(817) 496-6133
NPI assigned
Feb 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP132639 TX Primary

Addresses

Primary practice location

3311 Little Rd
Arlington, TX 76016-2241

Mailing address

PO Box 703
Godley, TX 76044-0703
Phone (817) 648-9486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170511000650 TX Practitioner - Nurse Practitioner 8123305638 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Worth Lung Clinic, PA CurrentSince Oct 1, 2018 Accepting new patients

Locations

11803 South Fwy
Ste 136
Burleson, TX 76028
Phone (817) 293-4833

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHFFCD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1376081752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 703",
            "city": "GODLEY",
            "state": "TX",
            "postal_code": "760440703",
            "telephone_number": "817-648-9486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 LITTLE RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760162241",
            "telephone_number": "817-496-1919",
            "fax_number": "817-496-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "CHERYL",
        "middle_name": "D.",
        "credential": "AG-ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-06",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP132639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.