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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 103700600 | 05 |
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 |
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 |
Street Address |
3900 MAX PLACE UNIT 101 |
City | BOYNTON BEACH |
State | FL |
Zip Code | 33436 |
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 |
Find all providers in zip 33436 |
Taxonomy Code | 261QC1500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Community Health |
Definition to come... |
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 |
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 |
Find all providers with the same taxonomy |
City | BOYNTON BEACH |
Zip Code | 33436 |
Please comment or provide details below to improve the information on MS. SHANNON M MITCHELL.
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.