Organization Active NPI

Mitchell Advanced Practice Nursing & Wellness Inc.

  • Nurse Practitioner
  • Bonita, CA
National Provider Identifier
1619679438
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
MITCHELL ADVANCED PRACTICE NURSING & WELLNESS INC.
Practice address
180 Otay Lakes Rd Ste 205
Bonita, CA 91902-2444
Phone
(619) 549-8401
NPI assigned
Mar 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Authorized official

Name
Kathleen Mitchell, NP-CNPI 1134696289
Title
Ceo/ Owner
Phone
(619) 549-8401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

180 Otay Lakes Rd Ste 205
Bonita, CA 91902-2444

Mailing address

2287 Calle Catarina
Chula Vista, CA 91914-4455

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1619679438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2287 CALLE CATARINA",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 OTAY LAKES RD STE 205",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919022444",
            "telephone_number": "619-549-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL ADVANCED PRACTICE NURSING & WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "CEO/ OWNER",
        "authorized_official_telephone_number": "619-549-8401",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.