Shannon Nichole Mitchell, CNA

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

A00202787 Issued in MD

Practice address

6404 Brooke Jane Dr
Clinton, MD 20735-4123

Phone

(202) 910-6091

NPI assigned

Feb 5, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1649033408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 BENNETT AVE",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207461478",
            "telephone_number": "202-910-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6404 BROOKE JANE DR",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354123",
            "telephone_number": "202-910-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "SHANNON",
        "middle_name": "NICHOLE",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "A00202787",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MD",
            "license": "A00202787",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mind Over Matter Health Services
• Mind Over Matter Health Services
• Mind Renewed Psychiatry LLC
• Mindhub Medical Group LLC
• Jacqueline C. Mitchell, CRNA
• Miranda Mixon, LCPC
• Elizabeth Moccia
• Ronak Mohite
• Belta Monie
• Reagan Denise Monteith, PA-C

• Home Health Agency in Clinton, MD
• Providers in Clinton, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.