Individual provider Active NPI

Tonia G Mitchell, C., FNP

  • Family Nurse Practitioner
  • Tazewell, VA
National Provider Identifier
1790708303
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024166124 Issued in VA
Practice address
388 Ben Bolt Ave
Tazewell, VA 24651-5386
Phone
(276) 964-6771
Fax
(276) 964-1314
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024166124 VA Primary

Addresses

Primary practice location

388 Ben Bolt Ave
Tazewell, VA 24651-5386

Mailing address

PO Box Cvpi
Richlands, VA 24641-1100
Phone (276) 964-6771

Other identifiers 1

IdentifierTypeStateIssuer
1790708303MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tmitchell55440@direct.carilionclinic.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20070710000561 VA Practitioner - Nurse Practitioner 0042226292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinch Valley Physicians Associates LLC 24 clinicians

Practice addresses (Care Compare)

398 Clinic Rd
Cedar Bluff, VA 24609-9413
Phone (276) 964-6771

Hospital & facility affiliations

  • Clinch Valley Medical Center Hospital, Richlands, VA, CCN 490060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinch Valley Physicians Inc Past Accepting new patients
Buchanan Health Care LLC PastSince Mar 22, 2004 Accepting new patients
Medical Rehabilitation Associates, Inc PC Past Accepting new patients
Clinch Valley Physicians Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tonia.mitchell.1@19847.direct.athenahealth.com
  • Direct secure messaging: tmitchell55440@direct.carilionclinic.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1790708303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX CVPI",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246411100",
            "telephone_number": "276-964-6771",
            "fax_number": "276-964-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 BEN BOLT AVE",
            "city": "TAZEWELL",
            "state": "VA",
            "postal_code": "246515386",
            "telephone_number": "276-964-6771",
            "fax_number": "276-964-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "TONIA",
        "middle_name": "G",
        "credential": "C., FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024166124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790708303",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmitchell55440@direct.carilionclinic.org",
            "affiliation": "N",
            "endpointDescription": "tmitchell55440@direct.carilionclinic.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "388 Ben Bolt Ave",
            "city": "Tazewell",
            "state": "VA",
            "country_code": "US",
            "postal_code": "246515386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tazewell, VA

Sources for this page

Verify at the official NPI Registry.