Active NPI
Oramae Rozalene Mitchell, CNP
- Adult Health Nurse Practitioner
- Minneapolis, MN
National Provider Identifier
1578635017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- R053670-7
- Practice address
- 410 Church St SE
Boynton Health Service
Minneapolis, MN 55455-0340 - Phone
- (612) 625-8400
- Fax
- (612) 625-1434
- NPI assigned
- Nov 13, 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R053670-7 | MN | Primary |
Addresses
Primary practice location
410 Church St SE
Boynton Health Service
Minneapolis, MN 55455-0340
Mailing address
1471 Como Ave
Saint Paul, MN 55108-2542
Phone (651) 646-2601
Other names 1
- Oramae Rozalene Vann
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)
- Not enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R053670-7 | MN | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242777600000",
"number": "1578635017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1471 COMO AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551082542",
"telephone_number": "651-646-2601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 CHURCH ST SE",
"address_2": "BOYNTON HEALTH SERVICE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554550340",
"telephone_number": "612-625-8400",
"fax_number": "612-625-1434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "ORAMAE",
"middle_name": "ROZALENE",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2009-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MN",
"license": "R053670-7",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ORAMAE",
"last_name": "VANN",
"middle_name": "ROZALENE",
"credential": "CNP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.