Kelli Leanne Burns Mitchell, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP60691972 Issued in WA

Practice address

8901 W Gage Blvd
Kennewick, WA 99336-7148

Phone

(509) 735-1100

NPI assigned

Sep 2, 2016

Last updated

Sep 2, 2016By the provider in NPPES

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)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Center for Excellence in Dermatology, PLLC

  • Specialist
  • Kennewick, WA
  • NPI 1669512950
  NPD (past)
• Center for Excellence in Dermatology PLLC

  • Specialist
  • Hermiston, OR
  • NPI 1093061806
  NPD (past)

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1417404872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 W GAGE BLVD",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367148",
            "telephone_number": "509-735-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 W GAGE BLVD",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367148",
            "telephone_number": "509-735-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS MITCHELL",
        "first_name": "KELLI",
        "middle_name": "LEANNE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-02",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60691972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Marie Burd
• Tim Burgess
• Ryan Thomas Burk, MD
• Carissa Burke, DO
• Emma Blythe Burke
• Margaret Burrell, LMP
• Anna Eleanor Burris
• Byron L Burrup, D.O.
• Jonathan Burrup, PT
• Dillon Burton

• Family Nurse Practitioner in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.