MS. SHANNON M MITCHELL


Address: 3900 Max Place, Unit 101, Boynton Beach, FL 33436
Phone: 5612894642

MS. SHANNON M MITCHELL (NPI# 1376037374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376037374
Entity Type Individual
Full Name MS. SHANNON M MITCHELL
Credential APRN
Practice Address 3900 Max Place
Unit 101
Boynton Beach
FL 33436
Mailing Address 3900 Max Place, 101
Boynton Beach
FL 33436
Practice Telephone 5612894642
Practice Fax Number 9494048261
Mailing Telephone 5612894642
Mailing Fax Number 5619031501
Enumeration Date 2018-06-22
Last Update Date 2020-08-18
NPI Deactivation Date 09/26/2019
NPI Reactivation Date 2019-10-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QC1500X Clinic/Center
Specialization: Community Health
APRN9228410 FL Ambulatory Health Care Facilities
N 363LF0000X Nurse Practitioner
Specialization: Family
APRN9228410 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 103700600 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
100 E Linton Blvd Ste 503, Delray Beach, FL 334833327 5612894642 9494048261
8593 Boca Glades Blvd W Apt F, Boca Raton, FL 334344090 5612894642
1905 Clint Moore Rd Ste 305, Boca Raton, FL 334962661 5612886153 5612886087

Other Providers SHANNON MITCHELL

NPI Name Taxonomy Address Enumeration
1104475144 Shannon Mitchell Behavior Technician 400 Galloway St Ne Apt 347s, Washington, DC 20011-6399 2019-09-11
1568814903 Shannon Mitchell Specialist/Technologist 234 Crestwood Dr, Clifton Heights, PA 19018-1203 2016-07-11
1144551797 Shannon Hawkley Mitchell Optometrist 5274 Main St Ste 1, Waitsfield, VT 05673-4445 2010-01-21
1003034901 Shannon J Mitchell Behavioral Analyst 10 Chartres Ct, Lake St Louis, MO 63367-1230 2007-04-23
1881727444 Shannon L Mitchell Counselor 10763 W Clover Way, Avondale, AZ 85323-4010 2007-03-13
1972631653 Shannon Mitchell Dental Hygienist 2300 Lancaster Drive Ne, Salem, OR 97305 2007-03-02
1467934281 Shannon Mitchell Case Manager/Care Coordinator 825 Center St Ste A, New Iberia, LA 70560-5500 2018-08-29
1821581273 Shannon Nicole Mitchell Registered Nurse 2151 Rush Blvd, Youngstown, OH 44507-1535 2018-06-11
1538675574 Shannon Eileen Mitchell Social Worker 2814 S Grand Blvd, Spokane, WA 99203-2528 2017-12-27
1578095501 Shannon Mitchell Student in an Organized Health Care Education/Training Program 1200 N State St, Clinic Tower A7d, Los Angeles, CA 90033-1029 2017-03-29

Office Location

Street Address 3900 MAX PLACE
UNIT 101
City BOYNTON BEACH
State FL
Zip Code 33436

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073130498 Maureen Ann Stewart Technician 189 Citrus Trail Circle, Boynton Beach, FL 33436 2020-07-01
1124650692 Marie Guerlande Cius Nurse Practitioner Jfk Medical Center, Atlantis, FL 33436 2020-02-12
1336785609 Dorri's Dental P.a. Dentist 12658 S. Military Trail, Suite #104, Boynton Beach, FL 33436 2019-11-21
1356986335 Valerie Delbrun Nurse Practitioner 1046 Arezzo Circle Boyton Beach Fl 33436, Boyton Beach, FL 33436 2019-11-13
1780198978 Procare Dentistry Dentist 3509 W. Boynton Beach Blvd, Boynton Beach, FL 33436 2017-11-27
1144733163 Gerardo Alberto Casteleiro Counselor 58 Misty Meadow Drive, Boynton Beach, FL 33436 2017-11-13
1346767183 Marcken Volmy Counselor 79 Baytree Circle, Boynton Bea H, FL 33436 2017-08-23
1821512476 Local Recovery, LLC Counselor 200 Knuth Road, Suite 228, Boynton Beach, FL 33436 2017-07-26
1164944534 Stephanie Joseph Nurse Practitioner 3658 Stratton Lane, Boynton Beach, FL 33436 2017-07-07
1588193924 Jorge E Iriarte Behavior Technician 7099 Middlebury Drive, Boynton Beach, FL 33436 2017-06-08
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Taxonomy Information

Taxonomy Code 261QC1500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Community Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447578125 Genesis Community Health, Inc Clinic/Center 709 S Federal Hwy Ste 3, Boynton Beach, FL 33435-5610 2010-05-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255932851 Florida State Nurse Registry Clinic/Center 290 Citrus Tower Blvd Ste 229, Clermont, FL 34711-2786 2020-11-02
1770181638 Wise Future Group Support Services, LLC Clinic/Center 2307 Greenwillow Dr, Orlando, FL 32825-7572 2020-10-13
1467068817 Health Coach Direct Primary Care Practice Pllc Clinic/Center 12300 Alternate A1a Ste 106, Palm Beach Gardens, FL 33410-2206 2020-09-21
1275166431 Hope Community Mental Health Corp Clinic/Center 4801 Nw 7th St Apt 208, Miami, FL 33126-2142 2020-02-17
1598303208 Harmony Healthcare Orlando Inc Clinic/Center 1400 S Orlando Ave Ste 204, Winter Park, FL 32789-5543 2019-12-12
1437705357 True Care, Inc Clinic/Center 20451 S Tamiami Trl Ste 1, Estero, FL 33928-8101 2019-08-15
1689228884 Greater Harvest Community Outreach Life Center Clinic/Center 4888 Nw 183rd St Ste 215, Miami Gardens, FL 33055-2943 2019-07-26
1730747163 Advanced Community Mental Health Inc Clinic/Center 11093 Nw 138th St Unit 210, Hialeah Gardens, FL 33018-1192 2019-05-31
1578120440 Impact Lives Consulting Group LLC Clinic/Center 11613 Sw 216th St, Miami, FL 33170-2933 2019-05-24
1609439140 Behavioral Health & Wellness of South Florida Clinic/Center 11285 Sw 211th St # 202, Miami, FL 33189-2211 2019-04-19
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Competitor

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City BOYNTON BEACH
Zip Code 33436

Improve Information

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Dataset Information

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.

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