STACI LIN MITCHELL (NPI# 1144306192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144306192 |
| Entity Type | Individual |
| Full Name | STACI LIN MITCHELL |
| Credential | NP, APRN |
| Practice Address |
842 Sunset Lake Blvd Ste 403 Venice FL 34292-7553 |
| Mailing Address |
2160 Colonial Blvd Fort Myers FL 33907-1410 |
| Practice Telephone | 9414853351 |
| Practice Fax Number | 9414857677 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2019-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN9490434 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 4704179085 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4476850 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 East Medical Center Dr, B1 Floor Cancer and Geriatric Ctr Recp C, Ann Arbor, MI 481090913 | 7346478903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949044 | Staci Mitchell | Counselor | 4747 Monroe St, Toledo, OH 43623-4307 | 2020-10-14 |
| 1225514516 | Staci Mitchell | Case Manager/Care Coordinator | 8211 Summa Ave Ste F, Baton Rouge, LA 70809-3471 | 2018-07-19 |
| Street Address |
842 SUNSET LAKE BLVD STE 403 |
| City | VENICE |
| State | FL |
| Zip Code | 34292-7553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558754986 | Sinafikish Sahlu | Pharmacist | 11642 Dancing River Dr, Venice, FL 34292 | 2015-03-10 |
| 1922404680 | Venice Home Care Services, LLC | Home Health | 1790 E Venice Ave Ste 201, Venice, FL 34292 | 2014-11-07 |
| 1285078659 | Nic 4 Sunset Lake Leasing | Assisted Living Facility | 1121 Jacaranda Blvd., Venice, FL 34292 | 2013-04-29 |
| 1407161979 | Ashley Layne Barnette | Social Worker | 421 Commercial Court, Suite A, Venice, FL 34292 | 2010-08-09 |
| 1790005387 | Nicole Lindsey Morganti | Dentist | 2393 E Venice Ave, Venice, FL 34292 | 2010-06-04 |
| 1013234608 | Suncoast Therapy, LLC | Physical Therapist | 417 Commercial Ct Ste C, Venice, FL 34292 | 2010-04-23 |
| 1396972246 | David J Widmyer | Internal Medicine | 1500 E Venice Ave Unit 103, Venice, FL 34292 | 2009-06-18 |
| 1063653228 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 345 Jacaranda Blvd, Venice, FL 34292 | 2009-03-18 |
| 1255578001 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 215 Jacaranda Blvd, Venice, FL 34292 | 2009-01-15 |
| 1417027665 | Ki M Hassler | Internal Medicine | 1215 Jacaranda Blvd, Venice, FL 34292 | 2006-11-08 |
| Find all providers in zip 34292 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265056709 | Jennifer Fernandez | Nurse Practitioner | 11989 Granite Woods Loop, Venice, FL 34292-4136 | 2020-06-01 |
| 1851886915 | Jafet Baxter | Nurse Practitioner | 333 South Tamiami Trail Suite 307, Venice, FL 34285 | 2018-06-29 |
| 1265774186 | Vanessa Hamalian | Nurse Practitioner | 1101 Tamiami Trl S Ste 108, Venice, FL 34285 | 2013-03-18 |
| 1770879363 | Gulf Coast Hma Physician Management LLC | Nurse Practitioner | 1000 Aston Gardens Dr, Venice, FL 34292-3078 | 2011-06-22 |
| 1598979627 | Nina Ceida Rojas | Nurse Practitioner | 389 Commercial Ct Ste B, Venice, FL 34292-1617 | 2007-05-09 |
| 1497361034 | Jennifer Flick | Nurse Practitioner | 901 Venetia Bay Blvd Ste 300, Venice, FL 34285-8044 | 2020-09-18 |
| 1548801954 | Amy J Demonbreun | Nurse Practitioner | 395 Commercial Ct Ste E, Venice, FL 34292-1651 | 2019-10-07 |
| 1255845921 | Nafisa Nathani | Nurse Practitioner | 540 The Rialto, Venice, FL 34285-2900 | 2017-11-16 |
| 1336674043 | Rita M Malpedo | Nurse Practitioner | 600 Nokomis Ave S Ste 102&203, Venice, FL 34285 | 2017-05-01 |
| 1225578008 | Christina Lynch | Nurse Practitioner | 1287 Us Highway 41 Byp S, Venice, FL 34285-5545 | 2017-02-28 |
| Find all providers in VENICE | ||||
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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.