Andrea Anderson Mitchell

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

217402 Issued in FL

Practice address

3533 Oleander St
Jacksonville, FL 32254-1732

Phone

(904) 808-5634

NPI assigned

Sep 12, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1689451684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6157 CEDAR HILLS BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322105177",
            "telephone_number": "904-808-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 OLEANDER ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322541732",
            "telephone_number": "904-808-5634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ANDREA",
        "middle_name": "ANDERSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": "217402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83-3766776",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mitchell S Rothstein M D Inc
• Mitchell S Rothstein M D Inc
• Kathleen Mitchell-Anderson, M.S. ED, CCC-SLP
• Alexandria Mitchell, RBT
• Alina Mitchell, BS
• Angela Mitchell, MD
• Brandon Lamar Mitchell, PAC
• Caitlyn Mitchell, MS
• Cedric Mitchell
• Christopher James Mitchell, PA-C

• Home Health Aide in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Home Health Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.