Briana Marie Mitchell, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

95026807 Issued in CA

Practice address

1325 Travis Blvd Ste C
Fairfield, CA 94533-4611

Phone

(707) 429-8855

NPI assigned

Aug 22, 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

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Planned Paranthood Shasta Diablo Inc

  • Community Health Clinic/Center
  • Fairfield, CA
  • NPI 1932269644
  NPD (past)

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1730963554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 MOUNTAIN LAKE DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995161881",
            "telephone_number": "907-317-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 TRAVIS BLVD STE C",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334611",
            "telephone_number": "707-429-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "BRIANA",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95026807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin A Miranda
• Timothy Miranda
• Kristi Shruthi Mishra
• Mission Samoa Inc
• Amanda Mitchell
• Deseray Marie Mitchell
• Julie E Mitchell
• Monica Mitchell
• Ashley Heather Mittelman, PHARMD
• Zahra Modaressi, DDS

• Women's Health Nurse Practitioner in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Women's Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.