Christie Mitchell, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F07190597 Issued in AL

Practice address

4300 W Main St Ste 300
Dothan, AL 36305-1313

Phone

(334) 446-0076

Fax

(334) 446-0203

NPI assigned

Oct 4, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Alabama Rural Health AssociatesGroup PAC ID 8123009057, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southeast Health Medical Center Hospital, Dothan, AL, CCN 010001
• Flowers Hospital Hospital, Dothan, AL, CCN 010055
• Wiregrass Medical Center Hospital, Geneva, AL, CCN 011309

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CHFGBD
• Direct secure messaging: christie.mitchell@sarha.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southeast Alabama Rural Health Associates

  • Federally Qualified Health Center (FQHC)
  • Enterprise, AL
  • NPI 1891856134
  Medicare reassignment Care Compare group NPD
• Southeast Alabama Rural Health Associates

  • Federally Qualified Health Center (FQHC)
  • Slocomb, AL
  • NPI 1023290608
  NPD
• Southeast Alabama Rural Health Associates

  • Federally Qualified Health Center (FQHC)
  • Andalusia, AL
  • NPI 1417753237
  NPD
• Southeast Alabama Rural Health Associates

  • Federally Qualified Health Center (FQHC)
  • Dozier, AL
  • NPI 1063573301

  Family

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Geneva County Healthcare Authority, Inc.

  • Critical Access Hospital
  • Geneva, AL
  • NPI 1134955370
  Care Compare affiliation
• Houston County Healthcare Authority

  • General Acute Care Hospital
  • Dothan, AL
  • NPI 1164403861
  Care Compare affiliation
• Triad of Alabama LLC

  • General Acute Care Hospital
  • Dothan, AL
  • NPI 1801830500
  Care Compare affiliation

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1528609146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 ELBA HWY",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360796020",
            "telephone_number": "334-670-6726",
            "fax_number": "334-670-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W MAIN ST STE 300",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051313",
            "telephone_number": "334-446-0076",
            "fax_number": "334-446-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "CHRISTIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "F07190597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "christiemitchell@DaleMedical.org",
            "affiliation": "N",
            "endpointDescription": "christiemitchell@dalemedical.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "359 James St",
            "city": "Ozark",
            "state": "AL",
            "country_code": "US",
            "postal_code": "363602014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shelby Minchew
• Danesha Minnifield, RBT
• Miracle Ear
• Deepa Mishra
• Candace Mitchell, RD
• Teri Ann Mitchell, CRNA
• William Mitchell
• Lacey Beard Mixon, CRNP
• Mobility Products Inc
• Reagan Mock, RBT

• Family Nurse Practitioner in Dothan, AL
• Providers in Dothan, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.