Octavia L. Mitchell

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

5107 S Blackstone Ave Apt 1104
Chicago, IL 60615-4295

Phone

(312) 581-1770

NPI assigned

Jan 25, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1649922238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5107 S BLACKSTONE AVE APT 1104",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154295",
            "telephone_number": "312-581-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5107 S BLACKSTONE AVE APT 1104",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154295",
            "telephone_number": "312-581-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "OCTAVIA",
        "middle_name": "L.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Sade Mitchell
• Monique S Mitchell
• Nancy Mitchell, LCPC
• Nathan Reid Mitchell
• Nia Ariana Mitchell
• Remington Mitchell, MA, LCPC
• Ryan Mitchell, M.D.
• Sarah Mitchell, MD
• Sarah Rose Mitchell, MA
• Sharon Mitchell, N.P.

• Home Health Aide in Chicago, IL
• Providers in Chicago, IL by specialty
• Home Health Aide in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.