DR. NICOLE RENAE MITCHELL (NPI# 1306069059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306069059 |
| Entity Type | Individual |
| Full Name | DR. NICOLE RENAE MITCHELL |
| Credential | M.D. |
| Practice Address |
500 Rue De La Vie, Suite 405 Baton Rouge LA 70817 |
| Practice Telephone | 2259282555 |
| Practice Fax Number | 2259299685 |
| Mailing Telephone | (225) 928-2555 |
| Mailing Fax Number | 2259299685 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2017-05-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
MD0000046053 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2436520 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740786169 | Nicole Mitchell | Registered Nurse | 1085 Whitlock Rd, Rochester, NY 14609-1843 | 2018-04-04 |
| 1528586872 | Nicole Mitchell | Physical Therapy Assistant | 235 Myrtle St., Manchester, NH 03104 | 2017-09-07 |
| 1063937761 | Nicole Alexandra Mitchell | Nurse Practitioner | 186 Princeton Hightstown Rd Bldg 3a, West Windsor, NJ 08550-1668 | 2017-08-03 |
| 1689052128 | Nicole Mitchell | Licensed Practical Nurse | 5035 Spring Well Ln, Grand Blanc, MI 48439-4237 | 2015-05-18 |
| 1649605650 | Nicole Mitchell | Doula | 5102 Winding Woods Dr, Centreville, VA 20120-4108 | 2013-09-09 |
| 1639474059 | Nicole Amanda Mitchell | Nurse Practitioner | 12510 Prosperity Dr Ste 200, Silver Spring, MD 20904-1640 | 2011-01-14 |
| 1215247150 | Nicole Heather Mitchell | Physical Therapist | 5832 N Lapeer Rd Ste Abc, North Branch, MI 48461-8144 | 2010-10-13 |
| 1790990067 | Nicole Mitchell | Dentist | 18043 Highwoods Preserve Pkwy, Tampa, FL 33647-1761 | 2007-05-11 |
| 1639214042 | Nicole Selina Mitchell | Speech-Language Pathologist | 597 W Calle Cajeta, Sahuarita, AZ 85629-7900 | 2007-02-21 |
| 1851951339 | Nicole Avendano Mitchell | Nurse Practitioner | 5400 Sutlive St, Savannah, GA 31405-4721 | 2019-06-18 |
| Street Address |
500 RUE DE LA VIE, SUITE 405 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503754 | Optimus Primary Care, LLC | Clinic/Center | 13828 Coursey Boulevard, Address Line 2, Baton Rouge, LA 70817 | 2019-11-22 |
| 1457821043 | Traci Bellazin | Case Manager/Care Coordinator | 9334 Falling Oak Dr., Baton Rouge, LA 70817 | 2018-11-27 |
| 1124502869 | Jacob Schrieffer | Nurse Practitioner | 15389 Airline Highway, Baton Rouge, LA 70817 | 2018-09-19 |
| 1629564638 | Baton Rouge Dental Associates, LLC | Dentist | 14948 Market St, Baton Rouge, LA 70817 | 2018-07-03 |
| 1740786946 | Charlotte L Watts | Nurse Practitioner | 15389 Airline Hwy, Baton Rouge, LA 70817 | 2018-04-05 |
| 1164957536 | Deranecha Francois | Counselor | 17232 Jefferson Hwy, Apt 121, Baton Rouge, LA 70817 | 2017-04-24 |
| 1992251573 | Jacob Dent, Dds. Baton Rouge Modern Dentistry, A Professional Corp | Dentist | 14640 Village Market St, Suite 103, Baton Rouge, LA 70817 | 2016-09-01 |
| 1235522962 | Cardinal Community Services LLC | Clinic/Center | 13702 Coursey Blvd. Bldg 6 Ste A 2, Baton Rouge, LA 70817 | 2015-03-05 |
| 1962832204 | Bcbr Facility Services, LLC | Clinic/Center | 277 Rue De La Vie, Baton Rouge, LA 70817 | 2013-11-23 |
| 1700225737 | Renee Denise Beyer Boudreaux | Nurse Practitioner | 500 Rue De La Vie, Suite 401, Baton Rouge, LA 70817 | 2013-06-24 |
| Find all providers in zip 70817 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508131830 | Danielle Eggie Thompson | Pediatrics | 500 Rue De La Vie St Ste 405, Baton Rouge, LA 70817-5128 | 2012-03-20 |
| 1215049739 | Clay Travis Jones | Pediatrics | 7777 Hennessy Blvd Suite 103, Pediatric Hospitalists of La, Baton Rouge, LA 70808 | 2006-08-31 |
| 1538168646 | Steven Brian Spedale | Pediatrics | 500 Rue De La Vie, Suite 405, Baton Rouge, LA 70817-5128 | 2005-07-20 |
| 1851390843 | Cynthia Ann Voelker | Pediatrics | 500 Rue De La Vie St, Suite 405, Baton Rouge, LA 70817-5128 | 2005-07-20 |
| 1487953287 | Michelle Charbonnet Steinhardt | Pediatrics | 500 Rue De La Vie, Suite 405, Baton Rouge, LA 70817-5128 | 2011-03-18 |
| 1538244553 | Nathan Phillip Knutson | Pediatrics | 500 Rue De La Vie, Suite 405, Baton Rouge, LA 70817 | 2006-10-26 |
| 1922193911 | Baton Rouge Neonatal Associates, Inc. | Pediatrics | 500 Rue De La Vie St, Suite 405, Baton Rouge, LA 70817-5127 | 2006-10-04 |
| 1174630131 | Judith T. Fishbein | Pediatrics | 8490 Picardy Ave, Rm 711, Baton Rouge, LA 70809-3731 | 2006-08-24 |
| 1275583858 | Thomas Donald Soltau Jr. | Pediatrics | 500 Rue De La Vie, Suite 405, Baton Rouge, LA 70818-5128 | 2006-05-12 |
| 1518917236 | Donald Frederick Meyn Jr. | Pediatrics | 500 Rue De La Vie, Suite 405, Baton Rouge, LA 70817-5128 | 2006-05-11 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70817 |
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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.