Individual provider Active NPI

Jody Lynn Mitchell, APRN

  • Family Nurse Practitioner
  • Topeka, KS
National Provider Identifier
1639413339
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
75764 Issued in KS
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

Updated by the provider on Apr 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
75764KSMDFamily Nurse Practitioner
2012039131MOMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.