Lacendia Mitchell

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Practice address

11036 Lydia Estates Dr W
Jacksonville, FL 32218-6937

Phone

(904) 305-1608

NPI assigned

Apr 2, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Future Sixcess Assisted Living Facility, LLC

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Jacksonville, FL
  • NPI 1750875977

  Respite Care, Intellectual and/Or Developmental Disabilities, Child

  NPD Authorized official

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1578069209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11036 LYDIA ESTATES DR W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322186937",
            "telephone_number": "904-305-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11036 LYDIA ESTATES DR W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322186937",
            "telephone_number": "904-305-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "LACENDIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly L Mitchell, LMHC
• Kelsea Mitchell
• Kevin M Mitchell, D.D.S.
• Kia Michon Mitchell, M.D.
• Kimberly M Mitchell, LMHC
• Lisa Mitchell
• Lyndsey Jean Mitchell, APRN
• Mackel Mitchell, APRN
• Miranda Eve Mitchell, RN, MSN, FNP-BC
• Natasha Lynnette Mitchell, PHARMD

• Child Intellectual and/or Developmental Disabilities Respite Care in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; 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.