Active NPI
Velma Darlene Mitchell, C.R.N.P.
- Nurse Practitioner
- Birmingham, AL
National Provider Identifier
1538195342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 891011670
- Practice address
- 619 19TH St S
Tbnu
Birmingham, AL 35249-1900 - Phone
- (205) 934-1346
- NPI assigned
- Jun 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 891011670 | AL | Primary |
Addresses
Primary practice location
619 19TH St S
Tbnu
Birmingham, AL 35249-1900
Mailing address
3756 Crestbrook Rd
Birmingham, AL 35223-1513
Phone (205) 968-3088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891011670 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 891011670 | AL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209081600000",
"number": "1538195342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3756 CRESTBROOK RD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352231513",
"telephone_number": "205-968-3088",
"fax_number": "205-968-3088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 19TH ST S",
"address_2": "TBNU",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352491900",
"telephone_number": "205-934-1346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "VELMA",
"middle_name": "DARLENE",
"name_prefix": "Ms.",
"credential": "C.R.N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2008-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "891011670",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891011670",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.