Jody A Mitchell

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

L-108580 Issued in NC

Practice address

3208 Sedgefield Pines LN
Raleigh, NC 27604-4504

Phone

(919) 622-1894

NPI assigned

Nov 30, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1942770102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 SEDGEFIELD PINES LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276044504",
            "telephone_number": "919-622-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 SEDGEFIELD PINES LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276044504",
            "telephone_number": "919-622-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JODY",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NC",
            "license": "L-108580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Mitchell, LCSW
• Emma Rebecca Mitchell, DC
• Jamica Mitchell, LCSWA
• Jason Mitchell
• Jill Elaine Mitchell, OTR-L
• Joshua B Mitchell, M.D.
• Justin Chayne Mitchell, CPHT
• Kasey Mitchell, MSW, LCSWA
• Kimlie Morrison Mitchell, MSW,LCSW
• Kristen Ann Mitchell, AGACNP-BC

• Lactation Consultant (Registered Nurse) in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Lactation Consultant (Registered Nurse) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; 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.