Active NPI
Mitchell Advanced Practice Nursing & Wellness Inc.
- Nurse Practitioner
- Bonita, CA
National Provider Identifier
1619679438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathleen Mitchell, NP-C
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Chula Vista, CA
- NPI 1134696289
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.