Active NPI
Sally Jane Mitchell, RNC,CHT
- Registered Nurse
- Quincy, CA
National Provider Identifier
1679712913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN541455
- Practice address
- 270 County Hospital Rd
Suite 109
Quincy, CA 95971-9180 - Phone
- (530) 283-6307
- NPI assigned
- Feb 10, 2009
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN31216 | NV | |
| Registered Nurse | 163W00000X | 200841972RN | OR | |
| Registered Nurse | 163W00000X | RN541455 | CA | Primary |
| Registered Nurse | 163W00000X | 63713 PUBLIC HEALTH | CA | |
| Mental Health Counselor | 101YM0800X | 200841972RN | OR |
Addresses
Primary practice location
270 County Hospital Rd
Suite 109
Quincy, CA 95971-9180
Mailing address
270 County Hospital Rd
Suite 109
Quincy, CA 95971-9180
Phone (530) 283-6307
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
| License | State | Type | Specialty |
|---|---|---|---|
| 200841972RN | OR | MD | Mental Health Counselor |
| 63713 PUBLIC HEALTH | CA | MD | Registered Nurse |
| RN541455 | CA | MD | Registered Nurse |
| RN31216 | NV | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489363200000",
"number": "1679712913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 COUNTY HOSPITAL RD",
"address_2": "SUITE 109",
"city": "QUINCY",
"state": "CA",
"postal_code": "959719180",
"telephone_number": "530-283-6307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 COUNTY HOSPITAL RD",
"address_2": "SUITE 109",
"city": "QUINCY",
"state": "CA",
"postal_code": "959719180",
"telephone_number": "530-283-6307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "SALLY",
"middle_name": "JANE",
"name_prefix": "Ms.",
"credential": "RNC,CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-10",
"last_updated": "2017-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NV",
"license": "RN31216",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "200841972RN",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "RN541455",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "63713 PUBLIC HEALTH",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "200841972RN",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.