Individual provider Active NPI

Guy Mitchell

  • Wound Care Registered Nurse
  • Lorain, OH
National Provider Identifier
1669807772
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
License
RN.520715 Issued in OH
Practice address
1625 W 20TH St
Lorain, OH 44052-3939
Phone
(440) 308-9452
NPI assigned
Sep 8, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X RN.520715 OH Primary

Addresses

Primary practice location

1625 W 20TH St
Lorain, OH 44052-3939

Mailing address

1625 W 20TH St
Lorain, OH 44052-3939
Phone (440) 308-9458

Other names 1

  • Mr. Guy Mitchell Professional name

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

State licenses

LicenseStateTypeSpecialty
RN.520715OHMDWound Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
New Genesis Mobile Wound Care LLC CurrentSince Mar 1, 2023 Accepting new patients

Locations

5224 Cobblestone Rd
#112
Sheffield Village, OH 44035

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1669807772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 W 20TH ST",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440523939",
            "telephone_number": "440-308-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 W 20TH ST",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440523939",
            "telephone_number": "440-308-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "GUY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-08",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "OH",
            "license": "RN.520715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GUY",
            "last_name": "MITCHELL",
            "prefix": "MR.",
            "credential": "LPN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lorain, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.