Active NPI
Ilonna Mitchell, FNP-C
- Nurse Practitioner
- Cypress, TX
National Provider Identifier
1730699869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP134598
- Practice address
- 21212 Northwest Fwy Ste 555
Cypress, TX 77429-5891 - Phone
- (281) 955-0786
- NPI assigned
- Oct 3, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP134598 | TX | Primary |
Addresses
Primary practice location
21212 Northwest Fwy Ste 555
Cypress, TX 77429-5891
Mailing address
21212 Northwest Fwy Ste 555
Cypress, TX 77429-5891
Phone (281) 955-0786
Other practice location 1
1631 North Loop W Ste 220
Houston, TX 77008-1530
Phone (713) 365-0786
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Children'S Physician Group | Past | Accepting new patients |
Interoperability endpoints
- imitchell306259@prddirect.texaschildrens.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1730699869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21212 NORTHWEST FWY STE 555",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774295891",
"telephone_number": "281-955-0786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21212 NORTHWEST FWY STE 555",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774295891",
"telephone_number": "281-955-0786"
}
],
"practiceLocations": [
{
"address_1": "1631 North Loop W Ste 220",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770081530",
"country_code": "US",
"telephone_number": "713-365-0786",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITCHELL",
"first_name": "ILONNA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-03",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP134598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.