Individual provider Active NPI

Linda Mitchum

  • Technician
  • Upper Darby, PA
National Provider Identifier
1427715143
Registry record updated Nov 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
TechnicianTaxonomy code 374700000X
License
136873 Issued in PA
Practice address
8311 Delaware Ave Ste 204
Upper Darby, PA 19082-2611
Phone
(215) 200-2160
NPI assigned
Nov 17, 2021
Last updated
Nov 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Technician 374700000X 136873 PA Primary

Addresses

Primary practice location

8311 Delaware Ave Ste 204
Upper Darby, PA 19082-2611

Mailing address

8311 Delaware Ave Ste 204
Upper Darby, PA 19082-2611
Phone (215) 200-2160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
136873PAMDTechnician

Practice roles

OrganizationSpecialtyStatusNew patients
Easy Care Home Health Agency LLC CurrentSince Nov 28, 2021 Accepting new patients

Locations

8311 Delaware Ave
Ste 204
Upper Darby, PA 19082
Phone (215) 200-2160

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": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637884800000",
    "number": "1427715143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8311 DELAWARE AVE STE 204",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822611",
            "telephone_number": "215-200-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8311 DELAWARE AVE STE 204",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822611",
            "telephone_number": "215-200-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHUM",
        "first_name": "LINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-26",
        "certification_date": "2021-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "PA",
            "license": "136873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Darby, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.