Carol Marvalyn Mitchell

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9182786 Issued in FL

Practice address

8531 NW 27TH Dr
Coral Springs, FL 33065-5363

Phone

(954) 234-5384

NPI assigned

Nov 4, 2016

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

Other names 1

• Miss Carol Marvalyn Christie Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1477095644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8531 NW 27TH DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655363",
            "telephone_number": "954-234-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8531 NW 27TH DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655363",
            "telephone_number": "954-234-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "CAROL",
        "middle_name": "MARVALYN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9182786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "CHRISTIE",
            "middle_name": "MARVALYN",
            "prefix": "MISS",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sharon Anne Minzer Bryant, LCSW
• Miracle-Ear, Inc.
• Dipika Mirpuri, PHARM D
• Nahomie Mirville, DNP,FNP,ARNP,PMHNP
• Mitchell Pollak MD PA
• Simon James Mitchell, CCC, SLP
• Ali Mithavayani
• Zafarulla A Mithavayani
• Moar Corp
• Mobile Acupuncture Inc

• Family Nurse Practitioner in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.