ANDREA RENE MITCHELL (NPI# 1568063931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568063931 |
| Entity Type | Individual |
| Full Name | ANDREA RENE MITCHELL |
| Practice Address |
103 Highway 82 Enterprise OR 97828-6011 |
| Mailing Address |
Po Box 268 Enterprise OR 97828-0268 |
| Practice Telephone | 5414264524 |
| Practice Fax Number | 5414263035 |
| Mailing Telephone | 5414264524 |
| Mailing Fax Number | 5414263035 |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962026252 | Andrea Rose Mitchell | Counselor | 250 Commercial St Ste 2020, Manchester, NH 03101-1118 | 2020-06-02 |
| 1518460443 | Andrea Jacqueline Mitchell | Registered Nurse | 13952 232nd St, Laurelton, NY 11413-2927 | 2018-03-16 |
| 1902350200 | Andrea Mitchell | Behavior Technician | 4302 N Weber St Apt D, Colorado Springs, CO 80907-4357 | 2016-08-04 |
| 1912370933 | Andrea Dorann Mitchell | Counselor | 240 E Renfro St Ste 200, Burleson, TX 76028-3940 | 2015-11-12 |
| 1518356773 | Andrea Mitchell | Social Worker | 1129 Gaskins Rd, Suite 107, Richmond, VA 23238-5235 | 2015-01-12 |
| 1861765885 | Andrea Ann Mitchell | Licensed Practical Nurse | 12370 Us Highway 30, Sidney, NE 69162-3044 | 2012-02-22 |
| 1568751386 | Andrea Nichelle Mitchell | Psychiatry & Neurology | 130s Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2011-04-01 |
| 1114968195 | Andrea Grace Mitchell Sr. | Physical Therapist | 45 Seekonk St, Providence, RI 02906-5125 | 2006-06-09 |
| 1114551801 | Andrea Mitchell | Licensed Practical Nurse | 1757 Indian Wood Cir, Maumee, OH 43537-4009 | 2020-03-03 |
| 1659904662 | Andrea Mitchell | Behavior Technician | 33 East St, Dorchester, MA 02122-3087 | 2020-02-18 |
| Street Address |
103 HIGHWAY 82 |
| City | ENTERPRISE |
| State | OR |
| Zip Code | 97828-6011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396842217 | Ida Catherine Pacheco | Psychologist | 103 Highway 82, Suite 5, Enterprise, OR 97828-6011 | 2006-09-20 |
| 1003415332 | Margaret Rodgers | Social Worker | 103 Highway 82, Enterprise, OR 97828-6011 | 2020-10-19 |
| 1285261149 | Kimberly Kay Botts | Case Manager/Care Coordinator | 103 Highway 82, Enterprise, OR 97828-6011 | 2020-03-23 |
| 1144796178 | Brandon Scott Miller | Counselor | 103 Highway 82, Enterprise, OR 97828-6011 | 2018-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275169393 | Celina N Taylor | Case Manager/Care Coordinator | 103 Or-82, Enterprise, OR 97828 | 2020-03-20 |
| 1295297794 | Kindra Dawn Peterson | Case Manager/Care Coordinator | 700 Walter Street Sp. 21, Enterprise, OR 97828 | 2019-04-03 |
| 1518472968 | Kurt Alan Boesger | Pharmacist | 306 West North Street, Enterprise, OR 97828 | 2017-12-07 |
| 1124539275 | Allen Schnetzky | Counselor | 207 Sw First St, Enterprise, OR 97828 | 2017-10-17 |
| 1033655758 | Belinda Gayle Buswell | Case Manager/Care Coordinator | 207 Sw First Street, Enterprise, OR 97828 | 2017-01-19 |
| 1073975918 | Danielle Rose Nash | Case Manager/Care Coordinator | Wallowa Valley Center for Wellness 201 Sw 2nd St, Enterprise, OR 97828 | 2016-03-21 |
| 1780040022 | Dolores Irene Beck | Counselor | 207 Sw 1st Street, Enterprise, OR 97828 | 2015-12-31 |
| 1245530344 | Olive Branch Family Health Inc | General Practice | 306 W North Street, Enterprise, OR 97828 | 2010-10-24 |
| 1952615163 | Red Cross United Drug, Inc. | Pharmacy | 306 West North St., Enterprise, OR 97828 | 2010-07-29 |
| 1386788131 | Gale A Barton | Chiropractor | 109 East Main St, Enterprise, OR 97828 | 2007-02-16 |
| Find all providers in zip 97828 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275169393 | Celina N Taylor | Case Manager/Care Coordinator | 103 Or-82, Enterprise, OR 97828 | 2020-03-20 |
| 1295297794 | Kindra Dawn Peterson | Case Manager/Care Coordinator | 700 Walter Street Sp. 21, Enterprise, OR 97828 | 2019-04-03 |
| 1033655758 | Belinda Gayle Buswell | Case Manager/Care Coordinator | 207 Sw First Street, Enterprise, OR 97828 | 2017-01-19 |
| 1073975918 | Danielle Rose Nash | Case Manager/Care Coordinator | Wallowa Valley Center for Wellness 201 Sw 2nd St, Enterprise, OR 97828 | 2016-03-21 |
| 1043839053 | William C Weisz | Case Manager/Care Coordinator | 301 W Main St, Enterprise, OR 97828-1245 | 2020-04-09 |
| 1285261149 | Kimberly Kay Botts | Case Manager/Care Coordinator | 103 Highway 82, Enterprise, OR 97828-6011 | 2020-03-23 |
| 1376173450 | Alphonza Bernard Bush Jr. | Case Manager/Care Coordinator | 51 Childrens Way, Enterprise, FL 32725-8135 | 2020-01-17 |
| 1467006668 | Wallowa Valley Center for Wellness | Case Manager/Care Coordinator | 301 W Main St, Enterprise, OR 97828-1245 | 2019-07-26 |
| 1922651132 | Elizabeth A Casebourn | Case Manager/Care Coordinator | 207 Sw 1st St, Enterprise, OR 97828-1203 | 2019-07-17 |
| 1255983243 | Kate Forster | Case Manager/Care Coordinator | 207 Sw 1st St, Enterprise, OR 97828-1203 | 2019-07-10 |
| Find all providers in ENTERPRISE | ||||
| City | ENTERPRISE |
| Zip Code | 97828 |
Please comment or provide details below to improve the information on ANDREA RENE 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.