Carol Evalda Mitchell-Hamilton, MSN CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3027 Issued in SC

Practice address

220 Faison Dr
Columbia, SC 29203-3210

Phone

(803) 898-8405

Fax

(803) 898-8526

NPI assigned

Aug 18, 2006

Last updated

Mar 6, 2009By the provider in NPPES

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)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236297600000",
    "number": "1699889436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 485",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292020485",
            "telephone_number": "803-898-8405",
            "fax_number": "803-898-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 FAISON DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292033210",
            "telephone_number": "803-898-8405",
            "fax_number": "803-898-8526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL-HAMILTON",
        "first_name": "CAROL",
        "middle_name": "EVALDA",
        "credential": "MSN CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2009-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "3027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1119",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martin C Mirra, MD
• Sydney Misencik
• Catherine M Mishoe, MA
• Manorama Mishra, M.D.
• Basem Mourad Labib Mishriky, M.D.
• Alvin Mitchell Jr.
• April Mitchell, APRN
• Ashli Mitchell
• Carl Issac Mitchell, M.D.
• Crystal Chanel Mitchell

• Nurse Practitioner in Columbia, SC
• Providers in Columbia, SC by specialty
• Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; 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.