BRENDA KAY MITCHELL (NPI# 1306373543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306373543 |
| Entity Type | Individual |
| Full Name | BRENDA KAY MITCHELL |
| Credential | PSS, PWS, CRM |
| Practice Address |
10373 Ne Hancock St Ste 132 Portland OR 97220-3873 |
| Mailing Address |
10373 Ne Hancock St Suite 132 Portland OR 97220 |
| Practice Telephone | 9713376715 |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2017-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750836219 | Brenda Mitchell | Nurse Practitioner | 3375 N Campbell Ave, Tucson, AZ 85719-2306 | 2016-08-24 |
| 1912972837 | Brenda Ellis Mitchell | Family Medicine | 850 Sligo Ave, Suite 301, Silver Spring, MD 20910-4703 | 2006-02-22 |
| 1760039705 | Brenda Mitchell | Registered Nurse | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2019-08-23 |
| 1518372184 | Brenda Mitchell | Counselor | 601 Sw B Ave, Lawton, OK 73501-3907 | 2014-06-23 |
| 1750690947 | Brenda Eleanor Mitchell | Social Worker | 8233 E Stockton Blvd, Suite D, Sacramento, CA 95828-8203 | 2010-10-05 |
| 1437477916 | Brenda Mitchell | Psychologist | 1900 E California St, Gainesville, TX 76240-4400 | 2010-05-09 |
| 1184818072 | Brenda Mitchell | Registered Nurse | 9333 Tech Center Dr, Suite 800, Sacramento, CA 95826-2583 | 2007-09-04 |
| 1285693192 | Brenda L Mitchell | Obstetrics & Gynecology | 1600 Medical Center Dr, Suite 4500, Huntington, WV 25701-3656 | 2006-03-20 |
| 1639160872 | Brenda C Mitchell | Speech-Language Pathologist | 2151 Linglestown Rd, Suite 140, Harrisburg, PA 17110-9499 | 2005-11-04 |
| Street Address |
10373 NE HANCOCK ST STE 132 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97220-3873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
| 1336780618 | Joan Lambert | Technician | 2802 Ne 108th Avenue, Portland, OR 97220 | 2019-10-08 |
| 1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
| 1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
| 1487178711 | Andrew Shonk | Massage Therapist | 163 Ne 102nd Ave Blid V, Portland, OR 97220 | 2017-07-28 |
| 1548781693 | Greater New Hope Family Services | Lodging | 11868 Ne Sandy Blvd, Portland, OR 97220 | 2017-06-29 |
| 1245771740 | Maria Teresa Banez Salcedo | Registered Nurse | 10300 Ne Hancock Street, Portland, OR 97220 | 2017-03-16 |
| 1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
| 1962945956 | Linda Ann Oldenburg | Registered Nurse | 9515 Ne Skidmore Avenue, Portland, OR 97220 | 2016-11-23 |
| 1326493446 | Trent D. Wilson | Massage Therapist | 8401 Ne Halsey St., Suite 101, Portland, OR 97220 | 2016-04-26 |
| Find all providers in zip 97220 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255576 | Thomas Roy Hooks | Peer Specialist | 1221 Sw 11th Ave Apt 102, Portland, OR 97205-2143 | 2020-11-04 |
| 1538773155 | Mamie Nzigire Zagabe | Peer Specialist | 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 | 2020-09-01 |
| 1245896307 | Anthony James Hardy | Peer Specialist | 10336 Ne Wygant St, Portland, OR 97220-3368 | 2019-05-14 |
| 1881155596 | Laray Jermaine Thomas | Peer Specialist | 11509 Se Stephens St, Portland, OR 97216-3660 | 2019-03-26 |
| 1932684248 | Dorothy Joanna Burton | Peer Specialist | 3716 Ne Martin Luther King Blvd, Portland, OR 97212-1111 | 2018-10-02 |
| 1750886255 | Steven Wade | Peer Specialist | 4512 Ne Portland Hwy, Portland, OR 97218-1363 | 2018-03-27 |
| 1669991212 | Kimberly Jaye Randall | Peer Specialist | 17214 Se Division St Ste 2, Portland, OR 97236-1282 | 2017-09-14 |
| 1689103897 | Walter Bulter | Peer Specialist | 5257 Ne Martin Luther King Jr Blvd Ste 202, Portland, OR 97211-3283 | 2017-06-09 |
| 1760914493 | Changing Perceptions | Peer Specialist | 1720 Nw Lovejoy St # 329, Portland, OR 97209-2346 | 2017-03-31 |
| 1528508520 | Damone Brown | Peer Specialist | 10209 Se Washington St, Suite D, Portland, OR 97216 | 2017-02-24 |
| Find all providers in PORTLAND | ||||
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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.