Individual provider Active NPI

Linda C. Mitchell, RN MSN FNP-C

  • Family Nurse Practitioner
  • Casa Grande, AZ
National Provider Identifier
1417188731
Registry record updated Sep 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN132591 Issued in AZ
Practice address
1703 E Fontana Dr
Casa Grande, AZ 85122-5865
Phone
(520) 876-0505
NPI assigned
Aug 4, 2009
Last updated
Sep 3, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN132591 AZ Primary

Addresses

Primary practice location

1703 E Fontana Dr
Casa Grande, AZ 85122-5865

Mailing address

1703 E Fontana Dr
Casa Grande, AZ 85122-5865
Phone (520) 876-0505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20140606000376 AZ Practitioner - Nurse Practitioner 7517120140 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN132591AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Healthcare, LLC CurrentSince Aug 28, 2014 Accepting new patients

Locations

1650 N Santa Rosa Ave
Tucson, AZ 85712
Phone (520) 795-1610

1785 E Skyline Dr
Ste 181
Tucson, AZ 85718
Phone (520) 433-4964

5830 E Pima St
Tucson, AZ 85712
Phone (520) 722-5515

6890 E Sunrise Dr
Ste 120
Tucson, AZ 85750
Phone (520) 408-4321

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346630400000",
    "number": "1417188731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 E FONTANA DR",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225865",
            "telephone_number": "520-876-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 E FONTANA DR",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225865",
            "telephone_number": "520-876-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "LINDA",
        "middle_name": "C.",
        "credential": "RN MSN FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-04",
        "last_updated": "2012-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN132591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

Verify at the official NPI Registry.