NICOLE AVENDANO MITCHELL (NPI# 1851951339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851951339 |
Entity Type | Individual |
Full Name | NICOLE AVENDANO MITCHELL |
Credential | NP-C |
Practice Address |
5400 Sutlive St Savannah GA 31405-4721 |
Practice Telephone | 9123546187 |
Mailing Telephone | 9123546187 |
Enumeration Date | 2019-06-18 |
Last Update Date | 2019-06-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN213509 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
16741 Highway 67 Ste B, Statesboro, GA 304582529 | 9123546187 | |
225 Candler Dr Ste 300, Savannah, GA 314056091 | 9123546187 | |
459 Highway 119 S Ste B, Springfield, GA 313293021 | 9123546187 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740786169 | Nicole Mitchell | Registered Nurse | 1085 Whitlock Rd, Rochester, NY 14609-1843 | 2018-04-04 |
1528586872 | Nicole Mitchell | Physical Therapy Assistant | 235 Myrtle St., Manchester, NH 03104 | 2017-09-07 |
1063937761 | Nicole Alexandra Mitchell | Nurse Practitioner | 186 Princeton Hightstown Rd Bldg 3a, West Windsor, NJ 08550-1668 | 2017-08-03 |
1689052128 | Nicole Mitchell | Licensed Practical Nurse | 5035 Spring Well Ln, Grand Blanc, MI 48439-4237 | 2015-05-18 |
1649605650 | Nicole Mitchell | Doula | 5102 Winding Woods Dr, Centreville, VA 20120-4108 | 2013-09-09 |
1639474059 | Nicole Amanda Mitchell | Nurse Practitioner | 12510 Prosperity Dr Ste 200, Silver Spring, MD 20904-1640 | 2011-01-14 |
1215247150 | Nicole Heather Mitchell | Physical Therapist | 5832 N Lapeer Rd Ste Abc, North Branch, MI 48461-8144 | 2010-10-13 |
1790990067 | Nicole Mitchell | Dentist | 18043 Highwoods Preserve Pkwy, Tampa, FL 33647-1761 | 2007-05-11 |
1306069059 | Nicole Renae Mitchell | Pediatrics | 500 Rue De La Vie, Suite 405, Baton Rouge, LA 70817 | 2007-04-11 |
1639214042 | Nicole Selina Mitchell | Speech-Language Pathologist | 597 W Calle Cajeta, Sahuarita, AZ 85629-7900 | 2007-02-21 |
Street Address |
5400 SUTLIVE ST |
City | SAVANNAH |
State | GA |
Zip Code | 31405-4721 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134193774 | Drazen M Jukic | Pathology | 5400 Sutlive St, Suite 3, Savannah, GA 31405-4721 | 2006-02-13 |
1497377097 | Julia Spruill-mote | Physician Assistant | 5400 Sutlive St, Savannah, GA 31405-4721 | 2020-05-18 |
1982225884 | Amy Carter | Nurse Practitioner | 5400 Sutlive St, Savannah, GA 31405-4721 | 2020-05-01 |
1689234163 | Vanessa Fitch Brink | Nurse Practitioner | 5400 Sutlive St, Savannah, GA 31405-4721 | 2019-06-18 |
1386174613 | Kelsey Fowler Cameron | Physician Assistant | 5400 Sutlive St, Savannah, GA 31405-4721 | 2017-06-19 |
1669573606 | Myra T. Buskirk | Nurse Practitioner | 5400 Sutlive St, Savannah, GA 31405-4721 | 2006-09-25 |
1265486229 | Stephen A White | Internal Medicine | 5400 Sutlive St, Savannah, GA 31405-4721 | 2006-05-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053918441 | Nicole Marie Tetro | Anesthesiology | Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 | 2020-10-08 |
1154983880 | Nickes Medical Supply, LLC. | Durable Medical Equipment & Medical Supplies | 6020 Halsey St, Savannah, GA 31405 | 2019-07-02 |
1215593025 | Lee Ann Ryle | Nurse Practitioner | 5223 Paulsen St., Savannah, GA 31405 | 2019-05-16 |
1942765334 | Raegan Epps | Behavior Technician | 613 Stephenson Ave Ste 205, Savannah, GA 31405 | 2019-02-10 |
1679050454 | Phenomenal Nursing Service | Registered Nurse | 604 South St., 604 South St, Savannah, GA 31405 | 2018-07-24 |
1275029472 | Chelsea Amanda Keedy | Pharmacist | 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 | 2018-07-11 |
1265933840 | Dwc-p LLC | Dentist | 5209 Paulsen Street, Savannah, GA 31405 | 2018-02-28 |
1386153005 | Aaron Shaw | Hearing Instrument Specialist | 5501 Abercorn St Ste E, Savannah, GA 31405 | 2017-09-26 |
1063946028 | Elizabeth Bentley Bruhn-danello | Dietitian, Registered | 836 East 65th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-17 |
1396278230 | Theresa Lynn George | Health Educator | 836 East 65 Th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-07 |
Find all providers in zip 31405 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093316820 | Odyne Rose Lacossiere-dorvilus | Nurse Practitioner | 30 Myrtlewood Dr, Savannah, GA 31405-1024 | 2020-11-06 |
1952900383 | Micaiah Mitchell | Nurse Practitioner | 10612 Middleground Rd Apt 513, Savannah, GA 31419-1268 | 2020-10-17 |
1104424712 | Yolanda Michelle Miller | Nurse Practitioner | 1651 Mckinnon Dr, Savannah, GA 31404-2319 | 2020-10-15 |
1730795386 | Shanika Graham | Nurse Practitioner | 2330 Coakley St, Savannah, GA 31404-4947 | 2020-09-18 |
1508479775 | Tonya L Creasy | Nurse Practitioner | 170 Barker Dr, Savannah, TN 38372-8419 | 2020-08-28 |
1356952394 | Elizabeth Woods Hammond | Nurse Practitioner | 107 W Liberty St Apt 6, Savannah, GA 31401-3965 | 2020-08-13 |
1740898915 | Bryan S Christain | Nurse Practitioner | 340 Hodgson Ct Ste 2, Savannah, GA 31406-1523 | 2020-07-14 |
1841814753 | Billie Sweeney | Nurse Practitioner | 134 Horse Creek Rd, Savannah, TN 38372-2984 | 2020-06-05 |
1609401140 | Malika Anderson Batie | Nurse Practitioner | 1632 Cloverdale Dr, Savannah, GA 31415-7814 | 2020-03-05 |
1760017206 | Evelia Johnsen | Nurse Practitioner | 11702 Mercy Blvd Ste 2g, Savannah, GA 31419-1777 | 2020-03-05 |
Find all providers in SAVANNAH |
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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.