Laurel A Mitzel, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00008794 Issued in WA

Practice address

625 4TH Ave
Suite 303
Kirkland, WA 98033-9028

Phone

(425) 890-4421

Fax

(425) 216-7283

NPI assigned

Dec 20, 2007

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1992989339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2130",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980832130",
            "telephone_number": "425-890-4421",
            "fax_number": "425-216-7283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 4TH AVE",
            "address_2": "SUITE 303",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980339028",
            "telephone_number": "425-890-4421",
            "fax_number": "425-216-7283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITZEL",
        "first_name": "LAUREL",
        "middle_name": "A",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00008794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "MI5423",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Ariadna Miranda
• Rayna Mitchell-Rose
• Anjelette Fae Mitchell, MS, CCC-SLP
• Jenna Catherine Mitchell
• Lauren Elise Mitchell
• Jerry Nelson Mixon, MD
• Dale Yoshi Miyauchi, MD
• Traci Mo, PHARM.D.
• Majed Moawad, DMD
• Alaleh Moazami, DMD

• Specialist in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.