Jason Christopher Mitchell, MSED, ATC, V, ATL

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT3766 Issued in TX

Practice address

Old Dominion University
Athletic Administration Building #1113C
Norfolk, VA 23529-0001

Phone

(757) 683-6462

Fax

(757) 683-5445

NPI assigned

Mar 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397779200000",
    "number": "1689792798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8908 SEMMES AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235034828",
            "telephone_number": "210-382-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OLD DOMINION UNIVERSITY",
            "address_2": "ATHLETIC ADMINISTRATION BUILDING #1113C",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235290001",
            "telephone_number": "757-683-6462",
            "fax_number": "757-683-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JASON",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "MSED, ATC, V, ATL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2014-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT3766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zarine Mistry, M.D.
• Breanne Mitcham
• Brian Keith Mitchell, M.D.
• Heather Mitchell
• Janee Chambers Mitchell, MAMFC, LPC, NCC
• Khristina Mitchell, LMT
• Madonna Nichole Mitchell
• Martha Elizabeth Mitchell
• Paul Bruce Mitchell Jr., MD
• Shawn B Mitchell, PA-C

• Athletic Trainer in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; 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.