Organization Active NPI

Johnnie L Mitchell Arnp PA

  • Acute Care Nurse Practitioner
  • Jupiter, FL
National Provider Identifier
1790127322
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
2831402 Issued in FL
Legal business name
JOHNNIE L MITCHELL ARNP PA
Practice address
12259 150TH CT N
Jupiter, FL 33478-3513
Phone
(561) 748-7212
NPI assigned
Jul 24, 2013
Last updated
Feb 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Authorized official

Name
Johnnie L Mitchell
Title
Owner
Phone
(561) 748-7212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 2831402 FL Primary

Addresses

Primary practice location

12259 150TH CT N
Jupiter, FL 33478-3513

Mailing address

12259 150TH CT N
Jupiter, FL 33478-3513
Phone (561) 748-7212

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1790127322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12259 150TH CT N",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334783513",
            "telephone_number": "561-748-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12259 150TH CT N",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334783513",
            "telephone_number": "561-748-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNNIE L MITCHELL ARNP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-24",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JOHNNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-748-7212"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "2831402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.