Rhonda Shannon Mitchell, CPM, LM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

MW60861142 Issued in WA

Practice address

28631 NE Tolt Hill Rd
Carnation, WA 98014-8205

Phone

(727) 667-8039

Fax

(425) 274-1553

NPI assigned

Feb 16, 2018

Last updated

Apr 22, 2020By 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 5

Addresses

Other names 1

• Mrs. R. Shannon Mitchell Professional 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": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1528568573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28631 NE TOLT HILL RD",
            "city": "CARNATION",
            "state": "WA",
            "postal_code": "980148205",
            "telephone_number": "727-667-8039",
            "fax_number": "425-274-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28631 NE TOLT HILL RD",
            "city": "CARNATION",
            "state": "WA",
            "postal_code": "980148205",
            "telephone_number": "727-667-8039",
            "fax_number": "425-274-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "RHONDA",
        "middle_name": "SHANNON",
        "name_prefix": "Mrs.",
        "credential": "CPM, LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-16",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175M00000X",
            "taxonomy_group": "",
            "desc": "Midwife, Lay",
            "state": null,
            "license": "18040002",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WA",
            "license": "MW60861142",
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "R.",
            "last_name": "MITCHELL",
            "middle_name": "SHANNON",
            "prefix": "MRS.",
            "credential": "CPM, LM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Midwife in Carnation, WA
• Providers in Carnation, WA by specialty
• Midwife in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.