Individual provider Active NPI

Karen Elizabeth Mitchell, MSN, RN

  • Case Management Registered Nurse
  • San Diego, CA
National Provider Identifier
1982220653
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
641004 Issued in CA
Practice address
County of San Diego California Children'S Services (CCS
6991 Balboa Ave, (Room 70)
San Diego, CA 92111
Phone
(858) 496-8232
Fax
(858) 496-8234
NPI assigned
Jun 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 641004 CA Primary

Addresses

Primary practice location

County of San Diego California Children'S Services (CCS
6991 Balboa Ave, (Room 70)
San Diego, CA 92111

Mailing address

County of San Diego California Children'S Services (CCS
6991 Balboa Ave, (Room 70)
San Diego, CA 92111
Phone (858) 496-8232

Other names 1

  • Karen Elizabeth Mitchell Professional name

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
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
641004CAMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1982220653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COUNTY OF SAN DIEGO CALIFORNIA CHILDREN'S SERVICES (CCS",
            "address_2": "6991 BALBOA AVE, (ROOM 70)",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92111",
            "telephone_number": "858-496-8232",
            "fax_number": "858-496-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COUNTY OF SAN DIEGO CALIFORNIA CHILDREN'S SERVICES (CCS",
            "address_2": "6991 BALBOA AVE, (ROOM 70)",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92111",
            "telephone_number": "858-496-8232",
            "fax_number": "858-496-8234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KAREN",
        "middle_name": "ELIZABETH",
        "credential": "MSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "641004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "MITCHELL",
            "middle_name": "ELIZABETH",
            "credential": "EDDC, MSN, RN, CMCN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.