Kaethe Beth Mitchell

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

540107 Issued in NY

Practice address

Susquehanna Valley High School
1040 Conklin Rd
Conklin, NY 13748

Phone

(607) 775-9119

Fax

(607) 775-7509

NPI assigned

Aug 29, 2019

Last updated

Aug 29, 2019By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Susquehanna Valley Central School District

  • Local Education Agency (LEA)
  • Conklin, NY
  • NPI 1780731273
  NPD (past)

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1821646290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SUSQUEHANNA VALLEY HIGH SCHOOL",
            "address_2": "1040 CONKLIN RD",
            "city": "CONKLIN",
            "state": "NY",
            "postal_code": "13748",
            "telephone_number": "607-775-9119",
            "fax_number": "607-775-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUSQUEHANNA VALLEY HIGH SCHOOL",
            "address_2": "1040 CONKLIN RD",
            "city": "CONKLIN",
            "state": "NY",
            "postal_code": "13748",
            "telephone_number": "607-775-9119",
            "fax_number": "607-775-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KAETHE",
        "middle_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "540107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Conklin",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Conklin, NY",
            "address_1": "Susquehanna Valley High School",
            "address_2": "1040 Conklin Rd",
            "city": "Conklin",
            "state": "NY",
            "country_code": "US",
            "postal_code": "13748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tammy Joan Hoover, RN
• Alysha Howard, RN
• Colleen Ellen Lynch, RN
• Erin K Matthews, R.N.
• Catherine Margret McGowan, RN
• Colleen Anne Naylor, RN
• Kathleen Mary Newfrock, RN
• Progressive Dental, PLLC
• Jennifer Long Redmore, DDS
• Cherise Rue, LPN

• School Registered Nurse in Conklin, NY
• Providers in Conklin, NY by specialty
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.