Kerryrose Joyceann Mitchell, A.R.N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

9287130 Issued in FL

Practice address

600 North Hiatus Road
Suite 102
Pembroke Pines, FL 33026

Phone

(954) 431-0540

Fax

(954) 431-0520

NPI assigned

Feb 24, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kerryrose Joyceann Gordon Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Harmonycares Complete Health Services, PLLC

  • Family Medicine Physician
  • Jackson, MS
  • NPI 1093543902

  FL, Nurse Practitioner

  Medicare reassignment NPD
• Legacy Physiatry Group LLC

  • Physical Medicine & Rehabilitation Physician
  • Plano, TX
  • NPI 1316078769

  FL

  Medicare reassignment NPD
• Asthma & Allergy Associates of FL PA

  • Allergy Physician
  • Pembroke Pines, FL
  • NPI 1255029401
  NPD (past)
• Asthma & Allergy Associates of FL PA

  • Allergy & Immunology Physician
  • Miami, FL
  • NPI 1972687556
  NPD (past)

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1588024285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 SW 87TH AVENUE",
            "address_2": "SUITE C-340",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33173",
            "telephone_number": "305-595-0109",
            "fax_number": "305-595-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NORTH HIATUS ROAD",
            "address_2": "SUITE 102",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33026",
            "telephone_number": "954-431-0540",
            "fax_number": "954-431-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KERRYROSE",
        "middle_name": "JOYCEANN",
        "name_prefix": "Mrs.",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-24",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "ARNP9287130",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9287130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRYROSE",
            "last_name": "GORDON",
            "middle_name": "JOYCEANN",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brianna Missial
• Shreea Mistry, OD
• Mitchell B Cohen MD PA
• Alison Elizabeth Mitchell, DO
• Caitlyn L Mitchell, PT
• Jesse Mitrani, CP
• Militza I Mizray, M.D.
• MJJ ABA Therapy Inc
• Jamie Lynn Mlujeak, LPTA
• Modern OBGYN Care, PLLC.

• Nurse Practitioner in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.