MRS. KELLY KATHLEEN MITCHELL (NPI# 1902467848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902467848 |
| Entity Type | Individual |
| Full Name | MRS. KELLY KATHLEEN MITCHELL |
| Credential | RN |
| Practice Address |
10802 College Place Cerritos CA 90703 |
| Mailing Address |
818 Monte Vis Irvine CA 92602-2018 |
| Practice Telephone | 5629249581 |
| Mailing Telephone | 5623011327 |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2019-06-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
579083 | CA | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10802 College Place, Cerritos, CA 90703 | 5629249581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528676061 | Kelly Marie Mitchell | Registered Nurse | 1012 W Villas Dr, Vicksburg, MI 49097-9626 | 2020-07-21 |
| 1972136638 | Kelly Mitchell | Counselor | 6600 Sw 105th Ave Suite 120, Beaverton, OR 97008 | 2020-02-20 |
| 1063976660 | Kelly Erin Mitchell | Nurse Practitioner | 7401 Beaufort Springs Dr, Suite 205, Richmond, VA 23225 | 2019-01-28 |
| 1073089769 | Kelly Jean Mitchell | Home Health Aide | 1293 Niagara Ave, Akron, OH 44305-2774 | 2018-10-19 |
| 1306266820 | Kelly Mitchell | Counselor | 3540 S Highway 27 Ste 4, Somerset, KY 42501-3124 | 2014-04-23 |
| 1467877068 | Kelly Mitchell | Developmental Therapist | 191 Blue Top Rd, Jacksonville, NC 28540-2948 | 2014-02-19 |
| 1104266188 | Kelly Leshawn Mitchell | Licensed Practical Nurse | 238 Lawrence Ave, Apartment#9, Lawrence, NY 11559-1297 | 2013-07-05 |
| 1891064085 | Kelly Mitchell | Contractor | 15194 21 Mile Rd, Tustin, MI 49688-8545 | 2011-12-19 |
| 1811146749 | Kelly Marie Mitchell | Social Worker | Bia Road # 7 Building #152, Belcourt, ND 58316-1970 | 2008-09-16 |
| 1053967059 | Kelly Mitchell | Pharmacist | 609 Luzerne St, Scranton, PA 18504-2626 | 2019-08-15 |
| Street Address |
10802 COLLEGE PLACE |
| City | CERRITOS |
| State | CA |
| Zip Code | 90703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992715437 | Kasey Kim | Internal Medicine | 10802 College Place, Cerritos, CA 90703 | 2006-08-08 |
| 1922357821 | Reza Farokhpay Md Inc Apc | Psychiatry & Neurology | 10802 College Place, Cerritos, CA 90703-1505 | 2012-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909582 | Michael Wong Dental Corporation | Dentist | 11549 South Street, Cerritos, CA 90703 | 2020-10-15 |
| 1144837139 | Essential California Ipa Inc. | Health Maintenance Organization | 1800 Studebaker Rd., 100, Cerritos, CA 90703 | 2020-09-24 |
| 1447868377 | Auxilium Health Network, Inc. | Health Maintenance Organization | 18000 Studebaker Dr, Cerritos, CA 90703 | 2020-07-16 |
| 1154939098 | Absolute Medical Partners, A Professional Medical Corporation | Health Maintenance Organization | 18000 Studebaker Rd., Ste 100, Cerritos, CA 90703 | 2020-07-16 |
| 1558906487 | Vitruvian Care, Inc. | Health Maintenance Organization | 18000 Studebaker Road Suite 100, Cerritos, CA 90703 | 2019-11-14 |
| 1841843554 | Ha Tran Tsai Dental Corporation | Dentist | 16466 Norwalk Boulevard, Cerritos, CA 90703 | 2019-07-22 |
| 1457828097 | Angela Ofoegbu | Registered Nurse | 10733 Elgers St, Cerritos, CA 90703 | 2018-11-01 |
| 1689183352 | Zeela G Diwa | Occupational Therapist | 12736 Palm Street, Cerritos, CA 90703 | 2017-09-26 |
| 1114446119 | Cooper Lee | Physical Therapist | 18503 Noran Ave, Cerritos, CA 90703 | 2017-09-12 |
| 1295259141 | Miyeon Vivienne Lee | Nurse Practitioner | 13337 South Street #158, Cerritos, CA 90703 | 2017-08-02 |
| Find all providers in zip 90703 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457828097 | Angela Ofoegbu | Registered Nurse | 10733 Elgers St, Cerritos, CA 90703 | 2018-11-01 |
| 1902389240 | Kristeen Candelaria | Registered Nurse | 18946 Vickie Ave Apt 248, Cerritos, CA 90703-6250 | 2018-09-12 |
| 1558995860 | Lam Duy Nguyen | Registered Nurse | 10802 College Pl, Cerritos, CA 90703-1505 | 2020-02-25 |
| 1285279232 | Daniel Steven Visda | Registered Nurse | 10802 College Pl, Cerritos, CA 90703-1505 | 2019-11-14 |
| 1417598921 | Shayna Renae Le Flore | Registered Nurse | 10802 College Pl, Cerritos, CA 90703-1505 | 2019-10-05 |
| 1891336376 | Robert Woolsey | Registered Nurse | 10802 College Pl, Cerritos, CA 90703-1579 | 2019-10-04 |
| 1518518893 | Eden Ross Dantes | Registered Nurse | 10802 College Pl, Cerritos, CA 90703-1505 | 2019-09-27 |
| 1861043846 | Cecilia Manlimos | Registered Nurse | 10802 College Pl, Cerritos, CA 90703-1579 | 2019-09-22 |
| 1598315939 | Melessia Marie Partis | Registered Nurse | 10802 College Pl, Cerritos, CA 90703-1505 | 2019-09-18 |
| 1437709862 | Jayseph Neri | Registered Nurse | 10802 College Pl, Cerritos, CA 90703-1505 | 2019-09-17 |
| Find all providers in CERRITOS | ||||
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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.