Anna Mitchell, RD, CSSD

Primary specialty

Sports Dietetics Nutrition Registered DietitianTaxonomy code 133VN1501X

Practice address

13260 Patchin Dr
Nunica, MI 49448-9338

Phone

(616) 481-9667

NPI assigned

Apr 13, 2020

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

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1659990430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13260 PATCHIN DR",
            "city": "NUNICA",
            "state": "MI",
            "postal_code": "494489338",
            "telephone_number": "616-481-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13260 PATCHIN DR",
            "city": "NUNICA",
            "state": "MI",
            "postal_code": "494489338",
            "telephone_number": "616-481-9667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ANNA",
        "credential": "RD, CSSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1501X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Lynne Ippel, EMT
• Madeleine Keen
• Evan Kroeze
• Gregory G Lunt, LMSW
• Terri Merz
• La'Shone Nichols
• Kathleen Orlebeke, M.S., O.T.R/L
• Alyssa Nicole Otten
• David Paul, L.L.P.
• Megan Shae-Robinson Pena, MA

• Sports Dietetics Nutrition Registered Dietitian in Nunica, MI
• Providers in Nunica, MI by specialty
• Sports Dietetics Nutrition Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.

Verify at the official NPI Registry.