Individual provider Active NPI

Sally Jane Mitchell, RNC,CHT

  • Registered Nurse
  • Quincy, CA
National Provider Identifier
1679712913
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN541455 Issued in CA
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

Updated by the provider on Mar 13, 2017

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
200841972RNORMDMental Health Counselor
63713 PUBLIC HEALTHCAMDRegistered Nurse
RN541455CAMDRegistered Nurse
RN31216NVMDRegistered 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.

Verify at the official NPI Registry.