Jacquelyn Mitchell, APRN

Primary specialty

Oncology Clinical Nurse SpecialistTaxonomy code 364SX0200X

License

APRN818 Issued in HI

Practice address

3801 Miranda Ave
Palo Alto, CA 94304-1207

Phone

(808) 258-7150

NPI assigned

Jul 12, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jacquelyn.mitchell1@va.gov

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1548994858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18281 BERTA CANYON RD",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939071389",
            "telephone_number": "808-258-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 MIRANDA AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041207",
            "telephone_number": "808-258-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JACQUELYN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SX0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Oncology",
            "state": "HI",
            "license": "APRN818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA",
            "identifier": "818",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jacquelyn.mitchell1@va.gov",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3801 Miranda Ave",
            "city": "Palo Alto",
            "state": "CA",
            "country_code": "US",
            "postal_code": "943041207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Yasha Misra
• Ayushi Anupbhai Mistry
• Meenal D Mistry, PA-C
• Ann Mary Mitchell Ellsworth, CNS
• Amrita Mitchell-Krishnan, PHD
• Jason Bryan Mitchell, MD
• Linda Frances Mitchell, M.A.
• Megan Lee Mitchell
• Michelle Penney Mitchell, NP
• Victor Mitra

• Oncology Clinical Nurse Specialist in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Oncology Clinical Nurse Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.