COLLEEN A MITCHELL (NPI# 1235119546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235119546 |
| Entity Type | Individual |
| Full Name | COLLEEN A MITCHELL |
| Credential | PA |
| Practice Address |
650 Huebner Rd Ft Riley KS 66442-4030 |
| Practice Telephone | 7852387188 |
| Practice Fax Number | 7852397121 |
| Mailing Telephone | 7852387188 |
| Mailing Fax Number | 7852397121 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2018-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
15-00838 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100424250B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548556293 | Colleen A. Mitchell | Psychologist | 704 Katie Court, Cambridge, WI 53523 | 2011-06-21 |
| 1336430529 | Colleen M Mitchell | Occupational Therapy Assistant | 3374 Franklin Avenue, Millbrook, NY 12545-5969 | 2011-04-22 |
| 1184751604 | Colleen Denise Mitchell | Psychologist | 8101 Sandy Spring Rd, Suite 100f, Laurel, MD 20707-3596 | 2007-02-28 |
| 1447634290 | Colleen Mitchell | Social Worker | 5490 Mcginnis Village Pl, Suite 205, Alpharetta, GA 30005-1733 | 2015-07-10 |
| 1831486885 | Colleen Mitchell | Optometrist | 1440 S Main St, Suite 100, Blacksburg, VA 24060-5568 | 2011-06-28 |
| 1821255860 | Colleen Mitchell | Nurse Practitioner | 275 Route 30 N, Bomoseen, VT 05732-9647 | 2008-05-19 |
| Street Address |
650 HUEBNER RD |
| City | FT RILEY |
| State | KS |
| Zip Code | 66442-4030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023305 | Zachary Moore | Audiologist | 650 Huebner Rd, Ft Riley, KS 66442-4030 | 2020-11-04 |
| 1861092041 | Kimberly Cavanagh | Registered Nurse | 650 Huebner Rd, Ft Riley, KS 66442-4030 | 2020-10-28 |
| 1437769395 | Suzanne Webb Cobleigh | Nurse Practitioner | 650 Huebner Rd, Ft Riley, KS 66442-4030 | 2020-08-05 |
| 1669081105 | Kimberly Dunaway | Pharmacist | 650 Huebner Rd, Ft Riley, KS 66442-4030 | 2020-07-30 |
| 1912516089 | David Henry Hatesohl | Pharmacist | 650 Huebner Rd, Ft Riley, KS 66442-4030 | 2020-07-24 |
| 1780124750 | Lori Fortin | Dietitian, Registered | 650 Huebner Rd, Ft Riley, KS 66442-4030 | 2017-02-24 |
| 1881076644 | Adam Christopher Henderson | Family Medicine | 650 Huebner Rd, Ft Riley, KS 66442-4030 | 2015-06-29 |
| 1588043822 | Lisa Sorell | Pharmacist | 650 Huebner Rd, Ft Riley, KS 66442-4030 | 2015-05-19 |
| 1174936207 | Rey Agatep | Pediatrics | 650 Huebner Rd, Ft Riley, KS 66442-4030 | 2014-06-06 |
| 1780026807 | Kegan Mosier | Counselor | 650 Huebner Rd, Ft Riley, KS 66442-4030 | 2013-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821588 | Leona Marie Walker | Registered Nurse | Bldg. 650 Huebner Road, Fort Riley, 66442, Apo, AA 66442 | 2020-11-03 |
| 1306392915 | Tiffany Sapp | Dental Assistant | 7670 Estes Rd, Ft. Riley, KS 66442 | 2016-09-01 |
| 1326594938 | Kamilla Evans | Dental Assistant | Building 7670 Estes Road, Apo, AA 66442 | 2016-09-01 |
| 1073970547 | Raymond Justin Myles Jr. | Psychologist | 609a Warrior Road, Fort Riley, KS 66442 | 2016-01-28 |
| 1669864096 | Luann Underwood | Counselor | 7424 Apennines Drive, Army Substance Abuse Program, Fort Riley, KS 66442 | 2015-02-23 |
| 1043622954 | Daniel K. Schuerch | Social Worker | 650 Huebner Rd Ofc 4b183, Fort Riley, KS 66442 | 2014-05-27 |
| 1295146223 | Logan Robert Gorges | Emergency Medicine | 814 Marshall Dr, Fort Riley, KS 66442 | 2014-05-13 |
| 1518386127 | Irwin Army Community Hospital | Clinic/Center | Normandy Drive Bldg 7665, Ft Riley, KS 66442 | 2014-04-10 |
| 1326465832 | Irwin Army Community Hospital | Clinic/Center | 7006 Normandy Ave, Ft Riley, KS 66442 | 2014-03-21 |
| 1770905812 | Caryn Deborah Wayne | Physician Assistant | Fort Riley, Apo, AA 66442 | 2014-01-08 |
| Find all providers in zip 66442 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760454425 | Darryl L Peterson | Physician Assistant | 600 Caisson Hill Rd, Ft Riley, KS 66442-7037 | 2006-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487277703 | Riann Paige Tyree | Physician Assistant | 724 W Lincoln Ave, Greensburg, KS 67054-2522 | 2020-05-20 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1912408717 | Alyssa Ann Farrell | Physician Assistant | 235 W Vine St., Dighton, KS 67839 | 2018-02-27 |
| 1740790500 | Tory Christopher Fisher | Physician Assistant | 22450 S Harrison St Ste 100, Spring Hill, KS 66083-8882 | 2017-10-06 |
| 1619407871 | Lisa Raylene Steers | Physician Assistant | Po Box 10, Hugoton, KS 67951-0010 | 2017-06-19 |
| 1922547371 | Anna Ruelberg | Physician Assistant | 4921 W 18th Street, Lawrence, KS 66047-2090 | 2017-02-17 |
| 1255888319 | Morgan J Martin | Physician Assistant | 2610 N Woodlawn, Wichita, KS 67220 | 2016-09-07 |
| 1598135808 | Tracy Hoelting | Physician Assistant | 1150 N 75th Pl Ste 200, Kansas City, KS 66112-2466 | 2015-09-29 |
| 1437409901 | Crystal A Nelson | Physician Assistant | 9350 E 35th St N, Ste 101, Wichita, KS 67226 | 2012-09-12 |
| 1306195193 | Jessica M Hughbanks | Physician Assistant | 101 Industrial Rd, Hillsboro, KS 67063-9602 | 2012-09-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.