Kelly Mitchell

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

191 Blue Top Rd
Jacksonville, NC 28540-2948

Phone

(910) 358-2977

NPI assigned

Feb 19, 2014

Last updated

Feb 19, 2014By 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

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1467877068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 BLUE TOP RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285402948",
            "telephone_number": "910-358-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 BLUE TOP RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285402948",
            "telephone_number": "910-358-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duy an Tran Minior, M.D.
• Carlie Minnick
• Velma A Minniefield, LCSW
• Mission Vision Optometry, PA
• Jackalyn Lee Mitchell, RN, OGNP
• Mark Anthony Mitchell, IDC
• Megan Irene Mitchell, FNP
• Whitney Carraway Mitchell, DMD
• Shyamal K Mitra, MD
• Madhur Mittal, MD

• Developmental Therapist in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Developmental Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.