Active NPI
Eric W. Mitchell, APRN
- Family Nurse Practitioner
- Madisonville, KY
National Provider Identifier
1831422039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3011842
- Practice address
- 444 S Main St
Madisonville, KY 42431-2846 - Phone
- (270) 821-4444
- Fax
- (270) 821-9188
- NPI assigned
- Sep 8, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 164344 | TN | |
| Family Nurse Practitioner | 363LF0000X | 3011842 | KY | Primary |
Addresses
Primary practice location
444 S Main St
Madisonville, KY 42431-2846
Mailing address
650 Joel Dr
Fort Campbell, KY 42223-5318
Other practice location 1
275 Cumberland Bnd
Nashville, TN 37228-1805
Phone (615) 743-1501
Other practice location 2
275 Cumberland Bnd
Nashville, TN 37228-1805
Phone (615) 743-1501
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | KY |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164344 | TN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745798400000",
"number": "1831422039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 JOEL DR",
"city": "FORT CAMPBELL",
"state": "KY",
"postal_code": "422235318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 S MAIN ST",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424312846",
"telephone_number": "270-821-4444",
"fax_number": "270-821-9188"
}
],
"practiceLocations": [
{
"address_1": "275 Cumberland Bnd",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372281805",
"country_code": "US",
"telephone_number": "615-743-1501",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "275 Cumberland Bnd",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372281805",
"country_code": "US",
"telephone_number": "615-743-1501",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITCHELL",
"first_name": "ERIC",
"middle_name": "W.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-08",
"last_updated": "2025-04-28",
"certification_date": "2025-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "164344",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3011842",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madisonville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.