Gladys Mitchell, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP130916 Issued in TX

Practice address

3510 Richmond Rd Ste 100
Texarkana, TX 75503-0712

Phone

(903) 831-3033

NPI assigned

May 23, 2016

Last updated

Feb 28, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

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.

• New Boston Medical Group LLP

  dba New Boston Family Clinic

  • Nurse Practitioner
  • New Boston, TX
  • NPI 1871571737

  Family

  NPD

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1467809004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 RICHMOND RD",
            "address_2": "STE 100",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030712",
            "telephone_number": "903-293-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 RICHMOND RD STE 100",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030712",
            "telephone_number": "903-831-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "GLADYS",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindful Blessings Mental Health
• Minor Care Clinic of Texarkana
• Miracle Ear- Texas, Inc
• Virginia Marie Missildine, FNP
• Darius Franklin Mitchell III, MD
• Shannon Larie Mitchell, RN-ACNP
• Cori Mychel Mobbs, OT
• Mobile Digital Imaging LLC
• D'Ann Michelle Montoya
• Gregory R Montoya, MD

• Family Nurse Practitioner in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.