Liberty Dawn Mitchell

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

70261 Issued in OK

Practice address

520 E 6TH St
Odessa, TX 79761-4527

Phone

(432) 482-5000

NPI assigned

Sep 11, 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

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": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1528617552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 OAKRIDGE DR",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797627155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E 6TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614527",
            "telephone_number": "432-482-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "LIBERTY",
        "middle_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "OK",
            "license": "70261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Miller, FNP
• Alireza Mirghiasi
• Keerthi K Miryala, DMD
• Mission Health, PLLC (Mission Health Lifestyle and Wellness Clinic)
• Gordon Ray Mitchell, HIS
• Richard L Mittan, PA-C
• Modern Dental Professionals-Midland Odessa PC (Monarch Dental)
• Bosky Nilesh Modi, MD
• Mojo Speech
• Claudia P Molina, M.D.

• Licensed Vocational Nurse in Odessa, TX
• Providers in Odessa, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.