Active NPI
Deon Sun Mitchell
- Doula
- Bridgewater, MA
National Provider Identifier
1932952850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 233 Comfort St Apt 10
Bridgewater, MA 02324-1606 - Phone
- (574) 575-1185
- NPI assigned
- Apr 10, 2024
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | |||
| Home Health Aide | 374U00000X | |||
| Homemaker | 376J00000X | |||
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
233 Comfort St Apt 10
Bridgewater, MA 02324-1606
Mailing address
233 Comfort St Apt 10
Bridgewater, MA 02324-1606
Phone (574) 575-1185
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1932952850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 COMFORT ST APT 10",
"city": "BRIDGEWATER",
"state": "MA",
"postal_code": "023241606",
"telephone_number": "574-575-1185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 COMFORT ST APT 10",
"city": "BRIDGEWATER",
"state": "MA",
"postal_code": "023241606",
"telephone_number": "574-575-1185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "DEON",
"middle_name": "SUN",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2024-04-10",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgewater, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.