ROBIN THEO MITCHELL (NPI# 1659785582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659785582 |
| Entity Type | Individual |
| Full Name | ROBIN THEO MITCHELL |
| Credential | FNP-BC |
| Practice Address |
110 Sasanqua Dr Graniteville SC 29829 |
| Mailing Address |
367 S. Gulph Rd Attn: Ipm Credentialing King of Prussia PA 19406-3121 |
| Practice Telephone | 8033921811 |
| Practice Fax Number | 8037616247 |
| Mailing Telephone | 8033921811 |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
18793 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
18793 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5608 Sunset Blvd, Lexington, SC 290722728 | 8663892727 | |
| 1762 E Main St, Spartanburg, SC 293072231 | 8645912261 | |
| 2720 Sunset Blvd, West Columbia, SC 291694810 | 8037912000 | 8037616247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295732212 | Robin L Mitchell | Family Medicine | 16528 E Desmet Ct Ste B3100, Spokane Valley, WA 99216-3522 | 2005-07-05 |
| 1669004602 | Robin Mitchell | Counselor | 1900 2nd Ave Fl 12, New York, NY 10029-7406 | 2020-02-07 |
| 1033775515 | Robin Mitchell | Marriage & Family Therapist | 5230 6th Street Frontage Rd E, Springfield, IL 62703-5128 | 2019-05-10 |
| 1790283299 | Robin Jay Mitchell | Counselor | 1305 Mansfield St, Richland, WA 99352-3588 | 2018-01-30 |
| 1053771113 | Robin Mitchell | Music Therapist | 67 West St, Brooklyn, NY 11222-2093 | 2016-03-02 |
| 1881980282 | Robin Mitchell | Counselor | 24275 Jefferson Ave, Murrieta, CA 92562-7285 | 2011-06-23 |
| Street Address |
110 SASANQUA DR |
| City | GRANITEVILLE |
| State | SC |
| Zip Code | 29829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710224001 | Carly Schneider | Physician Assistant | 110 Sasanqua Dr, Graniteville, SC 29829 | 2013-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386255214 | Bettis Academy Dentistry, LLC | Dentist | 120b Bettis Academy Road, Graniteville, SC 29829 | 2020-08-13 |
| 1770146540 | Midland Valley Behavioral Health & Consulting, LLC | Community/Behavioral Health | 3524 Jefferson Davis Hwy, Graniteville, SC 29829 | 2019-04-17 |
| 1508034273 | Roseanne Conti Rodgers | Dentist | 120-b Bettis Academy Rd, Granitevelle, SC 29829 | 2008-02-15 |
| 1205994886 | Darrell William Jones | Social Worker | 3524 Jefferson Davis Highway, Graniteville, SC 29829 | 2006-12-05 |
| 1144310905 | Ilse Kiddy Alumbaugh | Nurse Practitioner | 1 Bridgestone Pkwy, Graniteville, SC 29829 | 2006-10-13 |
| 1043591183 | Brian Adams | Social Worker | 100 Dogwood Ave, Graniteville, SC 29829-2836 | 2011-09-02 |
| 1215156112 | Graniteville Family Medical Center LLC | Family Medicine | 1 Hickman St, Graniteville, SC 29829-2955 | 2007-04-25 |
| 1629022785 | Mae Jean Englee | Family Medicine | 1 Hickman Street, Agape Physicians Care, Graniteville, SC 29829-2955 | 2006-05-20 |
| 1144738154 | Christy Sikes, LLC. | Dentist | 1 Hickman St, Graniteville, SC 29829-2955 | 2018-01-12 |
| 1316455231 | Lisa Robertson, LLC. | Nurse Practitioner | 1 Hickman St, Graniteville, SC 29829-2955 | 2018-01-12 |
| Find all providers in zip 29829 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245866151 | Erika Nicole Aguilar | Nurse Practitioner | 143 Caladium Ct, Graniteville, SC 29829-6069 | 2020-03-23 |
| 1144310905 | Ilse Kiddy Alumbaugh | Nurse Practitioner | 1 Bridgestone Pkwy, Graniteville, SC 29829 | 2006-10-13 |
| 1962496554 | Candace C Waters | Nurse Practitioner | 124 Bettis Academy Rd, Graniteville, SC 29829-3107 | 2005-09-09 |
| 1316455231 | Lisa Robertson, LLC. | Nurse Practitioner | 1 Hickman St, Graniteville, SC 29829-2955 | 2018-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557737 | Diondra Johnson | Nurse Practitioner | 2327 Watchtower Ln, Charleston, SC 29414-7803 | 2020-10-27 |
| 1740888262 | Gerri Kukucka | Nurse Practitioner | 18 Ash Ct, Irmo, SC 29063-9584 | 2020-10-16 |
| 1407454853 | William Andrew Haislip | Nurse Practitioner | 109 Anita St, Greer, SC 29651-3814 | 2020-10-16 |
| 1912505652 | Mattison Williams Craig | Nurse Practitioner | 108 Woodstock Ln, Greer, SC 29650-3918 | 2020-10-14 |
| 1669079901 | Kelley Brown Davis | Nurse Practitioner | 2689 Us-1, Elgin, SC 29045 | 2020-10-08 |
| 1518564897 | Erica Odom Mccumbers | Nurse Practitioner | 17 Downing Cir, Gilbert, SC 29054-8483 | 2020-10-08 |
| 1285231845 | Shannon Marie Dunlap | Nurse Practitioner | 3792 Home Branch Rd, Manning, SC 29102-4109 | 2020-10-07 |
| 1588261325 | Crystal Leopard | Nurse Practitioner | 328 Deer Creek Rd, Easley, SC 29640-7615 | 2020-10-05 |
| 1497352595 | Margaret Ann Regnery | Nurse Practitioner | 900 Island Park Dr Ste 104, Daniel Island, SC 29492-7560 | 2020-10-02 |
| 1417564709 | John P Rainchuso | Nurse Practitioner | 299 Three Runs Creek Way, Aiken, SC 29803-1680 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | GRANITEVILLE |
| Zip Code | 29829 |
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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.