Buffy Mitchem, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN.123438.MEDS-IV Issued in OH

Practice address

8120 Garnet Dr
Dayton, OH 45458-2141

Phone

(866) 934-7450

Fax

(866) 460-2997

NPI assigned

Aug 12, 2024

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": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1992536981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122697",
            "telephone_number": "833-510-4357",
            "fax_number": "866-460-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 GARNET DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454582141",
            "telephone_number": "866-934-7450",
            "fax_number": "866-460-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHEM",
        "first_name": "BUFFY",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.123438.MEDS-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Mitchell, MD
• Kelley Mitchell, KELLEY
• Michelle Mitchell
• Misty Marie Mitchell, ACNP
• Toie Lamont Mitchell
• Ashley L Mitterholzer, BA
• Jennifer Ann Mittlestead, M.D.
• Laura Mittlestead, PT, DPT
• Robin Mitzelos
• Kelby Elizabeth Mixell, PA-C

• Licensed Practical Nurse in Dayton, OH
• Providers in Dayton, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.

Verify at the official NPI Registry.