John Richard Mitchell, RN

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

202824-3102 Issued in UT

Practice address

5965 South 900 East
Ste 240 Valley Mental Health Ad
Salt Lake City, UT 84121-1720

Phone

(801) 263-7225

Fax

(801) 263-7279

NPI assigned

Jan 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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.

• Valley Mental Health Incorporated

  • Psychiatry Physician
  • Salt Lake City, UT
  • NPI 1275599797
  NPD (past)

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1619955812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8316 VALIANT DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216040",
            "telephone_number": "801-733-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5965 SOUTH 900 EAST",
            "address_2": "STE 240 VALLEY MENTAL HEALTH AD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841211720",
            "telephone_number": "801-263-7225",
            "fax_number": "801-263-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JOHN",
        "middle_name": "RICHARD",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "UT",
            "license": "202824-3102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERMOUTAIN HEALTH CARE",
            "identifier": "107032301101",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Mitchell
• Birgitta Hope Mitchell, MD
• Gwenda S Mitchell, APRN
• Harmony Mitchell, MS RDN CD CSP
• Jessie Maurine Mitchell, CSW
• Joshua Morrison Mitchell, MD
• Kasey Duane Mitchell, OTR/L
• Kimberly Mitchell, LCSW
• Mark Carter Mitchell Jr., APRN
• Megan Mitchell, RN

• Adult Psychiatric/Mental Health Registered Nurse in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.