Active NPI
Brianna Noel Tipton Mitchell, MS, CCC-SLP
- Speech-Language Pathologist
- San Diego, CA
National Provider Identifier
1659972776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 11838 Bernardo Plaza CT Ste 110
San Diego, CA 92128-2414 - Phone
- (185) 867-3543
- NPI assigned
- Nov 4, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
11838 Bernardo Plaza CT Ste 110
San Diego, CA 92128-2414
Mailing address
8485 Spreckels LN
San Diego, CA 92127-6138
Phone (909) 744-4575
Other names 1
- Brianna Noel Tipton Yovan II
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)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1659972776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8485 SPRECKELS LN",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921276138",
"telephone_number": "909-744-4575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11838 BERNARDO PLAZA CT STE 110",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921282414",
"telephone_number": "185-867-3543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "BRIANNA",
"middle_name": "NOEL TIPTON",
"name_prefix": "Mrs.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-04",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRIANNA",
"last_name": "YOVAN",
"middle_name": "NOEL TIPTON",
"suffix": "II",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.