LISA M. MITCHELL (NPI# 1639287352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639287352 |
| Entity Type | Individual |
| Full Name | LISA M. MITCHELL |
| Credential | P.A. |
| Practice Address |
200 Copeland Dr Mansfield MA 02048-1225 |
| Practice Telephone | 5083394144 |
| Practice Fax Number | 5082619940 |
| Mailing Telephone | 5083394144 |
| Mailing Fax Number | 5082619940 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 000456 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI BLUE CHIP | 41053 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760049449 | Lisa Mitchell | Nurse Practitioner | 12800 Bothell Everett Hwy Ste 220, Everett, WA 98208-6642 | 2019-05-28 |
| 1912472341 | Lisa Jean Mitchell | Dietitian, Registered | 13013 County Road 171, Danbury, TX 77534-9749 | 2018-10-12 |
| 1215418595 | Lisa Mitchell | Occupational Therapist | 268 Cardigan Ter, West Chester, PA 19380-1142 | 2018-08-24 |
| 1891241899 | Lisa Ann Mitchell | Speech-Language Pathologist | 5321 E Livingston Ave, Columbus, OH 43232-2864 | 2016-08-30 |
| 1912374828 | Lisa Mitchell | Massage Therapist | 800 W Queen Creek Rd Apt 2044, Chandler, AZ 85248-3313 | 2015-08-26 |
| 1235553538 | Lisa Mitchell | Home Health | 5150 Timuquana Rd. # 14, Jacksonville, FL 32210 | 2014-02-07 |
| 1386077543 | Lisa Ann Mitchell | Health Educator | 834 Shoal Creek Rd, Englewood, TN 37329-9526 | 2013-08-12 |
| 1891033981 | Lisa Jensen Mitchell | Pediatrics | Carl R. Darnall Medical Center, 2608 Marlin Dr, Killeen, TX 76543-2773 | 2013-01-23 |
| 1003133125 | Lisa Adair Mitchell | Counselor | 7180 Sw Fir Loop, Suite 1-a, Portland, OR 97223-8023 | 2010-04-29 |
| 1104062777 | Lisa Mitchell | Occupational Therapist | 626 Stinard Ave, Syracuse, NY 13207-1506 | 2008-12-31 |
| Street Address |
200 COPELAND DR |
| City | MANSFIELD |
| State | MA |
| Zip Code | 02048-1225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548243587 | Mark T Bright | Family Medicine | 200 Copeland Dr, Mansfield, MA 02048-1225 | 2005-11-23 |
| 1801203799 | Laura Falkiewicz | Nurse Practitioner | 200 Copeland Dr, Mansfield, MA 02048-1225 | 2014-07-13 |
| 1124448428 | Beth H Dombrowski | Registered Nurse | 200 Copeland Dr, Mansfield, MA 02048-1225 | 2014-04-24 |
| 1790939890 | Tobi E. Bloomwald | Social Worker | 200 Copeland Dr, Mansfield, MA 02048-1225 | 2008-11-17 |
| 1972606432 | Christine A. Mullaney | Physician Assistant | 200 Copeland Dr, Mansfield, MA 02048-1225 | 2006-09-07 |
| 1801998299 | Katherine A Mandigo | Nurse Practitioner | 200 Copeland Dr, Mansfield, MA 02048-1225 | 2006-09-05 |
| 1215041975 | Sreekala Vasudevan | Internal Medicine | 200 Copeland Dr, Mansfield, MA 02048-1225 | 2006-08-19 |
| 1194730523 | Scot E Sallaway | Physician Assistant | 200 Copeland Dr, Mansfield, MA 02048-1225 | 2006-07-31 |
| 1922021229 | John Shaver | Internal Medicine | 200 Copeland Dr, Mansfield, MA 02048-1225 | 2006-07-26 |
| 1407879679 | Nancy Ann Walsh | Nurse Practitioner | 200 Copeland Dr, Mansfield, MA 02048-1225 | 2006-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386293181 | Taylor Dabney | Specialist/Technologist | 1912 Francis Ave, Station Pointe Apt, Mansfield, MA 02048 | 2019-09-05 |
| 1720643935 | Emily Cecilia Pavidis | Doula | 1705 West Street, Mansfield, MA 02048 | 2019-05-02 |
| 1942784244 | Mary Rego Perry | Social Worker | 19 North White Pine Lane, Mansfield, MA 02048 | 2018-09-21 |
| 1306341078 | Danielle Haradon | Student in an Organized Health Care Education/Training Program | 42 Fieldstone Drve, Mansfield, MA 02048 | 2018-03-26 |
| 1750882353 | Mansfield Physical Therapy & Wellness LLC | Physical Therapist | 200 Chauncy St Ste 4, Mansfield, MA 02048 | 2018-02-28 |
| 1548671498 | Angela Silva | Developmental Therapist | 73 Elyse Rd, Mansfield, MA 02048 | 2014-05-14 |
| 1700123049 | Christy Kelly Ciccariello | Pediatrics | 4 Samoset Way, Mansfield, MA 02048 | 2013-01-07 |
| 1659620292 | Deirdre J Manning | Physical Therapist | 31 Oxford Road, Mansfield, MA 02048 | 2012-08-29 |
| 1043514706 | Carpen, Inc. | Health Maintenance Organization | 287 School St., Mansfield, MA 02048 | 2011-01-10 |
| 1295062545 | Theresa Melchionna Rhein | Social Worker | 450 Chauncy Street, Mansfield, MA 02048 | 2009-11-06 |
| Find all providers in zip 02048 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710297155 | Kara Leigh Kehoe | Physician Assistant | 305 Regency Pkwy Ste 405, Mansfield, TX 76063-5169 | 2010-10-19 |
| 1366558520 | Rita Roantree Foley | Physician Assistant | 770 Balgreen Dr Ste 101, Mansfield, OH 44906-4106 | 2006-08-21 |
| 1407460165 | Andrea Joyce Lankester | Physician Assistant | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2020-09-01 |
| 1396384434 | Lauren Colleen Bates | Physician Assistant | 370 Cline Ave, Mansfield, OH 44907-1057 | 2020-01-06 |
| 1881231637 | Okechukwu Aniagoh | Physician Assistant | 305 Regency Pkwy Ste 405, Mansfield, TX 76063-5169 | 2019-11-27 |
| 1144862566 | Marissa Catherine Lacey | Physician Assistant | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2019-10-17 |
| 1932671211 | Joseph Kleinmann | Physician Assistant | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2018-12-26 |
| 1881164010 | Mid-ohio Emergency Group, LLC | Physician Assistant | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2018-11-30 |
| 1326528993 | Alexa D Philipose | Physician Assistant | 801 Matlock Rd, Mansfield, TX 76063-9174 | 2018-08-14 |
| 1073091245 | Joshua Dewayne Wright | Physician Assistant | 2975 E Broad St Ste 200, Mansfield, TX 76063 | 2018-07-31 |
| Find all providers in MANSFIELD | ||||
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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.