JENTINA MITCHELL (NPI# 1447771829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447771829 |
| Entity Type | Individual |
| Full Name | JENTINA MITCHELL |
| Credential | PMHNP-BC |
| Practice Address |
20 Central Ave Lynn MA 01901-1201 |
| Mailing Address |
138 Highland Ave Apt 23 Somerville MA 02143-1642 |
| Practice Telephone | 7814777222 |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2017-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN2306688 | MA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN2306688 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
20 CENTRAL AVE |
| City | LYNN |
| State | MA |
| Zip Code | 01901-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962485748 | Anthony Carl Erdmann | Psychiatry & Neurology | 20 Central Ave, Lynn, MA 01901-1201 | 2005-11-25 |
| 1760035836 | Christine Marie Leibert | Registered Nurse | 20 Central Ave, Lynn, MA 01901-1201 | 2019-07-18 |
| 1336708734 | Mary Dy | Optometrist | 20 Central Ave, Lynn, MA 01901-1201 | 2019-06-10 |
| 1043782717 | Kannika Chap | Student in an Organized Health Care Education/Training Program | 20 Central Ave, Lynn, MA 01901-1201 | 2018-12-19 |
| 1568931459 | Cindi C Flores | Student in an Organized Health Care Education/Training Program | 20 Central Ave, Lynn, MA 01901-1201 | 2018-11-20 |
| 1538636303 | Wanda D Visnick | Registered Nurse | 20 Central Ave, Lynn, MA 01901-1201 | 2018-10-30 |
| 1962902569 | Nakiba Nelson | Registered Nurse | 20 Central Ave, Lynn, MA 01901-1201 | 2018-02-20 |
| 1033619879 | Saida Aitbouali | Counselor | 20 Central Ave, Lynn, MA 01901-1201 | 2018-02-19 |
| 1245730258 | Sheillanne Wambui | Student in an Organized Health Care Education/Training Program | 20 Central Ave, Lynn, MA 01901-1201 | 2018-02-16 |
| 1255849733 | Catherine Giello | Registered Nurse | 20 Central Ave, Lynn, MA 01901-1201 | 2018-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427515923 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 173 Oxford Street, Lowel Level, Suite P, Lynn, MA 01901 | 2019-02-21 |
| 1730680125 | Sarah Sawulski | Registered Nurse | 269 Union Stree01901t, Lynn, MA 01901 | 2018-02-22 |
| 1184142895 | Adrienne Wood | Case Manager/Care Coordinator | 100 Willow Street, Lynn, MA 01901 | 2017-09-01 |
| 1831613199 | Marie Linda Yannaco-grant | Social Worker | 62 Market Street, Lynn, MA 01901 | 2017-07-28 |
| 1942723457 | Michael Xinyu Miao | Physical Therapy Assistant | 1 Market Street, 3rd Floor, Lynn, MA 01901 | 2017-07-18 |
| 1730544743 | Pediatric Dental Professionals LLC | Dentist | 391 Lynn Way, Bldg A, Lynn, MA 01901 | 2015-12-17 |
| 1346667748 | Emily G. Joseph | Social Worker | 112 Market Street, 2nd Floor, Lynn, MA 01901 | 2014-03-24 |
| 1548510621 | Serena M Smith | Counselor | 181 Union Street, Suite J, Lynn, MA 01901 | 2012-09-14 |
| 1043575624 | Timothy J Bossie | Optometrist | 20 Central Avenue, Lynn, MA 01901 | 2012-07-10 |
| 1689946923 | Lynn Dental Center | Dentist | 232 Union Street, Lynn, MA 01901 | 2012-02-02 |
| Find all providers in zip 01901 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376160887 | Rita Asiegbunam | Nurse Practitioner | 98 Kirtland St Apt 2, Lynn, MA 01905-1821 | 2020-06-30 |
| 1164561437 | Gloria L. Burdett | Nurse Practitioner | 37 Friend St., Elder Service Plan of The North Shore, Lynn, MA 01902 | 2007-02-05 |
| 1215977665 | Gail Margaret Analoro | Nurse Practitioner | 583 Chestnut St, Suite 12, Lynn, MA 01904-2600 | 2006-06-07 |
| 1780281832 | Kenneth Chea | Nurse Practitioner | 694 Western Ave, Lynn, MA 01905-2229 | 2020-10-01 |
| 1194370130 | Jocelyn Beatriz Mejia | Nurse Practitioner | 269 Union St, Lynn, MA 01901-1314 | 2019-08-06 |
| 1144675695 | Anne-terese Vanderburg | Nurse Practitioner | 20 Central Ave, Lynn, MA 01901-1201 | 2016-05-03 |
| 1619366309 | Whitney Gibson | Nurse Practitioner | 60 Granite Street, Bayridge, Lynn, MA 01904 | 2015-01-18 |
| 1720488778 | Margery Walentuk | Nurse Practitioner | 269 Union St, Lynn, MA 01901-1314 | 2014-08-27 |
| 1689001059 | Rechele Jordow | Nurse Practitioner | 60 Granite St, Lynn, MA 01904-2915 | 2013-10-01 |
| 1104133750 | Matthew Twomey | Nurse Practitioner | 23 Central Ave, Lynn, MA 01901-1220 | 2010-09-02 |
| Find all providers in LYNN | ||||
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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.