KYLE MITCHELL (NPI# 1437713401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437713401 |
| Entity Type | Individual |
| Full Name | KYLE MITCHELL |
| Practice Address |
609 5th St Modesto CA 95351-3316 |
| Practice Telephone | 2093410718 |
| Mailing Telephone | 2093410718 |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2019-04-25 |
| Gender Code | M |
| 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 |
|---|---|---|---|---|
| 1568085033 | Kyle Jason Mitchell | Social Worker | 4025 E Us 287, Midlothian, TX 76065 | 2020-05-19 |
| 1316565229 | Kyle Robert Mitchell | Psychologist | 7901 Metropolis Dr, Austin, TX 78744-3111 | 2020-07-07 |
| 1174162697 | Kyle Mitchell | Respiratory Therapist, Registered | 7400 Merton Minter St, San Antonio, TX 78229-4404 | 2020-01-01 |
| 1326600784 | Kyle Mitchell | Counselor | 280 Levi Jackson Mill Rd Ste A, London, KY 40744-8325 | 2019-07-05 |
| 1225424989 | Kyle Gregory Mitchell | Student in an Organized Health Care Education/Training Program | 6431 Fannin St, Msb 4.331, Houston, TX 77030-1501 | 2015-04-09 |
| 1659634608 | Kyle Todd Mitchell | Psychiatry & Neurology | 505 Parnassus Ave, Box 0114, M-798, San Francisco, CA 94143-2204 | 2012-06-22 |
| 1316928138 | Kyle Darren Mitchell | Family Medicine | 960 Woodstock Pkwy, Ste 300, Woodstock, GA 30188 | 2005-11-09 |
| Street Address |
609 5TH ST |
| City | MODESTO |
| State | CA |
| Zip Code | 95351-3316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790813582 | Janene Carol Honberger | Case Manager/Care Coordinator | 609 5th St, Modesto, CA 95351-3316 | 2007-03-01 |
| 1720695414 | Mary English | Technician/Technologist | 609 5th St, Modesto, CA 95351-3316 | 2020-09-26 |
| 1770100588 | Coty Huntley | Technician | 609 5th St, Modesto, CA 95351-3316 | 2020-06-26 |
| 1215553003 | Richard Vernon Search | Technician | 609 5th St, Modesto, CA 95351-3316 | 2020-06-17 |
| 1063038909 | Kelli Jeannine Ott | Technician | 609 5th St, Modesto, CA 95351-3316 | 2020-06-16 |
| 1689201295 | Donnie Carter Jr. | Technician | 609 5th St, Modesto, CA 95351-3316 | 2020-03-24 |
| 1962039701 | Jody Becker | Technician | 609 5th St, Modesto, CA 95351-3316 | 2020-03-23 |
| 1073145140 | Cristian Brittney Mcclure | Technician, Other | 609 5th St, Modesto, CA 95351-3316 | 2020-02-06 |
| 1265075519 | Julia Ann Raistrick | Technician | 609 5th St, Modesto, CA 95351-3316 | 2019-10-18 |
| 1508409962 | Joel Wesley Culver | Technician | 609 5th St, Modesto, CA 95351-3316 | 2019-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700392487 | Western Dental Services, Inc. | Dentist | 1524 Richland Ave, Ceres, CA 95351 | 2017-12-18 |
| 1881039873 | Sabrina Arora-thissen | Family Medicine | 401 Paradise Rd. Ste, Modesto, CA 95351 | 2013-05-03 |
| 1407163561 | Maliza Cahee Oliver | Dentist | 1404 Mitchell Rd, Modesto, CA 95351 | 2010-09-09 |
| 1124345616 | Jason Lee Paul Wayrynen | Social Worker | 1219 N Carpenter Rd Ste 12, Modesto, CA 95351 | 2010-04-23 |
| 1841469640 | Edgar Hse-hwa Han | Physical Medicine & Rehabilitation | 1521 N. Carpenter Road, Suite D-1, Modesto, CA 95351 | 2008-02-26 |
| 1326259326 | Karen Ann Peterson | Nurse Practitioner | 1340 Mitchell Rd, Modesto, CA 95351 | 2007-05-24 |
| 1013139054 | Bounchanh Trysavath | Physician Assistant | 300 I St, Modesto, CA 95351 | 2007-05-02 |
| 1245363464 | Sharon Basaldua1 | Counselor | 813 Moon Lane, Modesto, CA 95351 | 2007-03-14 |
| 1710046834 | Phil Chen | Dentist | 1460 Mitchell Road, Suite B, Modesto, CA 95351 | 2006-12-06 |
| 1649366055 | Victor Y. Chen | Family Medicine | 401 Paradise Road, Suite E, Modesto, CA 95351 | 2006-10-04 |
| Find all providers in zip 95351 | ||||
| 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 |
|---|---|---|---|---|
| 1700329810 | Sergio Marquez | Peer Specialist | 1338 Holm Ave, Modesto, CA 95351-4704 | 2016-11-21 |
| 1821531930 | Lance Lebray | Peer Specialist | 840 La Sombra Ave, Modesto, CA 95354-1434 | 2016-11-21 |
| 1396305009 | Ronald Joseph Roy | Peer Specialist | 1001 Needham St, Modesto, CA 95354-0730 | 2019-06-14 |
| 1073177887 | Virginia Betty Linker | Peer Specialist | 1001 Needham St, Modesto, CA 95354-0730 | 2019-04-26 |
| 1043874027 | Truman Lynn Northern | Peer Specialist | 609 5th St, Modesto, CA 95351-3316 | 2019-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477629 | Karen J Pompa | Peer Specialist | 2605 E Date Palm Paseo Apt 2194, Ontario, CA 91764-4670 | 2020-11-05 |
| 1033710231 | Marcus Kujawa | Peer Specialist | 85 Ramona Expy Ste 13, Perris, CA 92571-7014 | 2020-11-04 |
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1043826753 | Dayjahnay Shantay Davenport | Peer Specialist | 3347 Lincoln Ave, San Diego, CA 92104-2111 | 2020-09-17 |
| 1497364848 | Marissa Adrianna Garza | Peer Specialist | 1502 Verona Ct, Salinas, CA 93905-2249 | 2020-07-30 |
| 1235765801 | Jill Nina Bierman | Peer Specialist | 25322 Via Piedra Roja, Laguna Niguel, CA 92677-1824 | 2020-03-16 |
| 1427683101 | Gerardo Castro | Peer Specialist | 5555 Reservoir Dr # 204-a, San Diego, CA 92120-5134 | 2020-03-03 |
| 1437783180 | Samuel Guadron Rosales | Peer Specialist | 658 E Brier Dr Ste 250, San Bernardino, CA 92408-2875 | 2020-03-02 |
| 1356973234 | Salina Sheoli Romero | Peer Specialist | 40 West G Street Ste. B, Los Banos, CA 93635 | 2020-02-07 |
| 1578103313 | Charles Winfield Eproson Jr. | Peer Specialist | 4545 Georgetown Pl Ste D, Stockton, CA 95207-6229 | 2020-01-09 |
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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.