Active NPI
Jody Lynn Mitchell, APRN
- Family Nurse Practitioner
- Topeka, KS
National Provider Identifier
1639413339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 75764
- Practice address
- 2909 SE Walnut Dr
Topeka, KS 66605-2189 - Phone
- (785) 267-0744
- NPI assigned
- Nov 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2012039131 | MO | |
| Family Nurse Practitioner | 363LF0000X | 75764 | KS | Primary |
Addresses
Primary practice location
2909 SE Walnut Dr
Topeka, KS 66605-2189
Mailing address
632 Stonegate CT
Lawrence, KS 66049-4246
Phone (785) 424-4864
Other practice location 1
11729 Roe Ave
Leawood, KS 66211-2605
Phone (913) 345-8404
Other practice location 2
4505 NW Fielding Rd
Topeka, KS 66618-2651
Phone (785) 270-0080
Other practice location 3
909 SW Mulvane St
Topeka, KS 66606-1677
Phone (785) 270-0082
Other practice location 4
6725 SW 29th St
Topeka, KS 66614-5625
Phone (785) 354-0517
Other practice location 5
601 SW Corporate Vw Ste 200
Topeka, KS 66615-1245
Phone (785) 234-2400
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75764 | KS | MD | Family Nurse Practitioner |
| 2012039131 | MO | MD | Family Nurse Practitioner |
Interoperability endpoints
- jmitchell86370@stormontvaildirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554336000000",
"number": "1639413339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "632 STONEGATE CT",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660494246",
"telephone_number": "785-424-4864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2909 SE WALNUT DR",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666052189",
"telephone_number": "785-267-0744"
}
],
"practiceLocations": [
{
"address_1": "11729 Roe Ave",
"address_purpose": "LOCATION",
"city": "Leawood",
"state": "KS",
"postal_code": "662112605",
"country_code": "US",
"telephone_number": "913-345-8404",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4505 NW Fielding Rd",
"address_purpose": "LOCATION",
"city": "Topeka",
"state": "KS",
"postal_code": "666182651",
"country_code": "US",
"telephone_number": "785-270-0080",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "909 SW Mulvane St",
"address_purpose": "LOCATION",
"city": "Topeka",
"state": "KS",
"postal_code": "666061677",
"country_code": "US",
"telephone_number": "785-270-0082",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6725 SW 29th St",
"address_purpose": "LOCATION",
"city": "Topeka",
"state": "KS",
"postal_code": "666145625",
"country_code": "US",
"telephone_number": "785-354-0517",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 SW Corporate Vw Ste 200",
"address_purpose": "LOCATION",
"city": "Topeka",
"state": "KS",
"postal_code": "666151245",
"country_code": "US",
"telephone_number": "785-234-2400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITCHELL",
"first_name": "JODY",
"middle_name": "LYNN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-19",
"last_updated": "2019-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2012039131",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "75764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.