Carolyn Lee Mitchell, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

10996 Issued in TN

Practice address

4428 Sutherland Ave
Knoxville, TN 37919-5008

Phone

(865) 588-6425

Fax

(865) 671-2879

NPI assigned

Jun 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Boyd Vision Care LLC

  • Optometrist
  • Knoxville, TN
  • NPI 1952570145
  NPD (past)
• Inspiris of Tennessee, Inc.

  • Gerontology Nurse Practitioner
  • Brentwood, TN
  • NPI 1457364721
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303084800000",
    "number": "1982647251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 W WOODCHASE RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341647",
            "telephone_number": "865-207-2193",
            "fax_number": "865-966-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4428 SUTHERLAND AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195008",
            "telephone_number": "865-588-6425",
            "fax_number": "865-671-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "CAROLYN",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2011-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "10996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0091462",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mackenna Lee Misuk
• Sierra Miszkiel
• Alexandria Mitchell
• Alison Lea Mitchell, AU.D., CCC-A
• Breann Rochelle Mitchell, M.A. CCC-SLP
• Cassandra Lynn Mitchell, MS
• Charles Stone Mitchell, M.D.
• Christina Naessens Mitchell, M.S. CCC-SLP
• Danene L Mitchell, PT
• Donna Mitchell, LMSW

• Psychiatric/Mental Health Nurse Practitioner in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; 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.