Cynthia Diane Mitchell, RN, BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

2006019377 Issued in MO

Practice address

625 W Hughs St
Bolivar, MO 65613-2819

Phone

(314) 743-9556

NPI assigned

Jun 6, 2018

Last updated

Jun 6, 2018By 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)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1457843344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W HUGHS ST",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656132819",
            "telephone_number": "314-743-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W HUGHS ST",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656132819",
            "telephone_number": "314-743-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "CYNTHIA",
        "middle_name": "DIANE",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2006019377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emiliy Mesecher, PT, DPT
• Michele Vinson Investments LLC Dba Bolivar Manor House
• Jessica Lynn Miller, RD/LD
• Tommie L Miller, LCSW
• Missouri Speech Therapy
• Coral Molina, DO
• Laura Beth Montgomery, O.D.
• Sara Montgomery, SLP
• Joseph Andrew Moore, MD
• Melissa Sue Moores, LCSW

• Registered Nurse in Bolivar, MO
• Providers in Bolivar, MO by specialty
• Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.