Individual provider Active NPI

Lashonda Wilson-Mitchell, LPN

  • Licensed Practical Nurse
  • Savannah, GA
National Provider Identifier
1780424895
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN097574 Issued in GA
Practice address
600 Commercial CT Ste a
Savannah, GA 31406-3671
Phone
(912) 244-8352
NPI assigned
May 28, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN097574 GA Primary

Addresses

Primary practice location

600 Commercial CT Ste a
Savannah, GA 31406-3671

Mailing address

9664 Ford Ave Unit 374
Richmond Hill, GA 31324-8915
Phone (254) 768-1486

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPN097574GAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1780424895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9664 FORD AVE UNIT 374",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313248915",
            "telephone_number": "254-768-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 COMMERCIAL CT STE A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063671",
            "telephone_number": "912-244-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON-MITCHELL",
        "first_name": "LASHONDA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN097574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.