RACHAEL D. MITCHELL (NPI# 1114266327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114266327 |
| Entity Type | Individual |
| Full Name | RACHAEL D. MITCHELL |
| Credential | PA-C |
| Practice Address |
107 Koontz Ave Ste 200 Clendenin WV 25045-9581 |
| Mailing Address |
104 Alex Ln Charleston WV 25304-2952 |
| Practice Telephone | 3045487272 |
| Practice Fax Number | 3045487149 |
| Mailing Telephone | 3047342040 |
| Mailing Fax Number | 3047342047 |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2020-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1715 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437601531 | Rachael Mitchell | Behavior Technician | 19914 116th Ave, Saint Albans, NY 11412-3204 | 2016-10-25 |
| 1669838249 | Rachael Melissa Mitchell | Nurse Practitioner | 3721 Hilltop Rd, Fort Worth, TX 76109-2714 | 2016-01-12 |
| Street Address |
107 KOONTZ AVE STE 200 |
| City | CLENDENIN |
| State | WV |
| Zip Code | 25045-9581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770659062 | Elizabeth A Mcclellan | Psychiatry & Neurology | 107 Koontz Ave Ste 200, Clendenin, WV 25045-9581 | 2006-11-28 |
| 1710456546 | Chava Zemirah Urecki | Psychologist | 107 Koontz Ave Ste 200, Clendenin, WV 25045-9581 | 2018-11-22 |
| 1043660160 | Caitlyn Elizabeth Nelson | Dentist | 107 Koontz Ave Ste 200, Clendenin, WV 25045 | 2016-06-20 |
| 1760858401 | Kerry Drabish | Nurse Practitioner | 107 Koontz Ave Ste 200, Clendenin, WV 25045-9581 | 2015-08-17 |
| 1407259062 | Clendenin Health Center Lab | Family Medicine | 107 Koontz Ave Ste 200, Clendenin, WV 25045-9581 | 2014-09-26 |
| 1811249956 | Jennifer Lynn Thayer | Physician Assistant | 107 Koontz Ave Ste 200, Clendenin, WV 25045-9581 | 2012-10-14 |
| 1700037744 | Mary Ann Maurer | Family Medicine | 107 Koontz Ave Ste 200, Clendenin, WV 25045-9581 | 2008-10-08 |
| 1962616789 | Barbara M Michael | Family Medicine | 107 Koontz Ave Ste 200, Clendenin, WV 25045-9581 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669088753 | Tammie Ann Cummings | Technician | 1266 Kelliehillrd, Clendenin, WV 25045 | 2020-09-23 |
| 1467063289 | Barbara E Gross | Technician | 10546 Elk River Rd, Clendenin, WV 25045 | 2020-08-14 |
| 1437676392 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 8699 Elk River Rd North, Clendenin, WV 25045 | 2017-08-23 |
| 1982984324 | Jennifer Marie Snell | Pharmacist | 2 First Ave S, Clendenin, WV 25045 | 2011-08-17 |
| 1629290218 | Douglas Joseph Donovall Jr. | Pharmacist | 2 First Ave South, Clendenin, WV 25045 | 2007-05-03 |
| 1912085549 | Lawrence Henry Schoonover | Dentist | 1 French Street, Clendenin, WV 25045 | 2006-11-01 |
| 1437199742 | Cabin Creek Health Center, Inc. | Clinic/Center | 107 Koontz Ave., Suite 200, Clendenin, WV 25045 | 2006-06-07 |
| 1790754638 | Mary E Grandon | Physician Assistant | 107 Koontz Ave. Ste. 200, Clendenin, WV 25045 | 2006-03-14 |
| 1285928804 | Clendenin Health Center Pharmacy At Riverview | Clinic/Center | 107 Koontz Ave, Clendenin, WV 25045 | 2011-05-31 |
| 1750681011 | Lindsay A Matuszkiewicz | Pharmacist | 10 Main Street, Clendenin, WV 25045 | 2010-11-02 |
| Find all providers in zip 25045 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386270908 | Bonnie Lynn Blackburn | Physician Assistant | 10 Amalia Dr Ste C5, Buckhannon, WV 26201-2270 | 2020-03-15 |
| 1922638824 | Sara B Johnson | Physician Assistant | 1000 Mon Health Medical Park Dr Ste 1100, Morgantown, WV 26505-1143 | 2020-01-19 |
| 1659835072 | Kristen Nicole Williams | Physician Assistant | 26 Portsmouth Ct N, Falling Waters, WV 25419-1430 | 2019-01-30 |
| 1629588876 | Robert Theodore Hartman | Physician Assistant | 620 National Rd Ste 300, Wheeling, WV 26003-6560 | 2017-10-02 |
| 1366967986 | Terri Leanne Belcher | Physician Assistant | 395 Emily Dr, Clarksburg, WV 26301-5505 | 2017-08-04 |
| 1760937056 | Ryan Aston | Physician Assistant | 58 16th St Fl 4, Wheeling, WV 26003-3660 | 2016-08-17 |
| 1821470113 | Lesley E. Weiss | Physician Assistant | 3200 Maccorkle Seave, Charleston, WV 25304-1227 | 2015-06-23 |
| 1891197323 | Rachelle Lyle Stewart | Physician Assistant | 1500 Terrace St Ste 105, Hinton, WV 25951-9768 | 2014-09-16 |
| 1285043224 | Sarah Gutman Brammer | Physician Assistant | 30 Medical Park Ste 211, Wheeling, WV 26003-6391 | 2014-08-04 |
| 1841603529 | Timothy Douglas | Physician Assistant | 4202 Mccorkle Ave Sw Ste 200, South Charleston, WV 25309-1513 | 2014-06-10 |
| Find all providers with the same taxonomy | ||||
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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.