Lauren Mitchell, D.O.
Individual provider Active NPI Family Medicine Physician · Cottleville, MO
NPI 1699113019 · NPPES record last updated Jan 28, 2022
Key facts
- NPI
- 1699113019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2020012107 (MO)
- Practice address
- 5381 Highway N Ste 101
Cottleville, MO 63304-7750 - Phone
- (636) 875-7865
- NPI assigned
- Jun 7, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Previously, effective Aug 17, 2022 through Aug 17, 2026
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020012107 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honest Family Medicine | Family Medicine | Current |
Accepting new patients |
Locations
5381 Highway N
Ste 101
Cottleville, MO 63304
Phone (314) 226-4478
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2020012107 | MO | Yes |
Addresses
Primary practice location
5381 Highway N Ste 101
Cottleville, MO 63304-7750
Mailing address
9556 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 961-2255
Other providers in Cottleville, MO
- Michael Lear Jr.
- Danielle Lorenscheit
- Brendan Michael McEnery
- MD at Home LLC
- Judith K Mickelson
- Margaret M. Mueller
- Neelima Nalluri
- Lindsey Powell
- Ellen Ray
- Joseph Kenneth Reid
All providers in Cottleville, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.