JOHN RICHARD MITCHELL (NPI# 1619955812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619955812 |
Entity Type | Individual |
Full Name | JOHN RICHARD MITCHELL |
Credential | RN |
Practice Address |
5965 South 900 East Ste 240 Valley Mental Health Ad Salt Lake City UT 84121-1720 |
Mailing Address |
8316 Valiant Dr Salt Lake City UT 84121-6040 |
Practice Telephone | 8012637225 |
Practice Fax Number | 8012637279 |
Mailing Telephone | 8017335256 |
Enumeration Date | 2006-01-06 |
Last Update Date | 2008-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
202824-3102 | UT | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UT | INTERMOUTAIN HEALTH CARE | 107032301101 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952764078 | John Mitchell Iv | Licensed Practical Nurse | 185 Greencroft Rd, Bedford, OH 44146-2064 | 2016-04-05 |
1659757722 | John Mitchell | Licensed Vocational Nurse | 2015-07-30 | |
1295058105 | John William Mitchell | Specialist/Technologist | 31950 Pauba Rd, Temecula, CA 92592-3500 | 2010-03-05 |
1457596603 | John Charles Mitchell IIi | Specialist | 920 10th St Sw, Rochester, MN 55902-2067 | 2008-12-02 |
1508909292 | John Carl Mitchell | Spec/Tech, Cardiovascular | 1405 Rockhaven Dr, Modesto, CA 95356-9682 | 2007-02-14 |
1487796280 | John P Mitchell | Social Worker | 3300 County Road 10, Suite 400, Brooklyn Center, MN 55429-3072 | 2007-02-12 |
1639224231 | John David Mitchell Jr. | Dentist | 1171 West Main Street, Ackerman, MS 39735 | 2007-01-24 |
1386792406 | John William Mitchell | Counselor | 5100 Poplar Ave Ste 2897, Memphis, TN 38137-4000 | 2007-01-08 |
1043371560 | John Douglas Mitchell | Chiropractor | 12271 Sutton Way, Grass Valley, CA 95945 | 2006-12-12 |
1851467898 | John R Mitchell | Social Worker | 887 2nd St, Fall River, MA 02721-1998 | 2006-11-28 |
Street Address |
5965 SOUTH 900 EAST STE 240 VALLEY MENTAL HEALTH AD |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84121-1720 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619266012 | Alejandra Maria Barainca | Counselor | 5965 South 900 East, Salt Lake City, UT 84121-1720 | 2011-04-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407483522 | Kaitlyn Horne | Behavior Technician | 6910 S. Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-26 |
1952936387 | Jared Wells | Behavior Technician | 6910 S Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-05 |
1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
1093273708 | Anna O'hearon | Counselor | New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-03-12 |
1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
1912430588 | Wasatch Midwifery and Wellness, LLC | Dietitian, Registered | 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 | 2017-04-10 |
1407308331 | Tina Polgar | Registered Nurse | 6244 Highland Drive, Murray, UT 84121 | 2016-10-26 |
Find all providers in zip 84121 |
Taxonomy Code | 163WP0809X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health, Adult |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124048319 | Stella Blight | Registered Nurse | 500 S. Foothill Blvd, George Wahlen Vamc, Salt Lake City, UT 84109 | 2006-07-20 |
1629003900 | Helen L Stanhope | Registered Nurse | 1399 South 700 Easrt, Suite 17b, Salt Lake City, UT 84105 | 2006-07-12 |
1790727733 | Lisa Ann Jensen | Registered Nurse | Slc Va Health Care System, 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2006-06-12 |
1568449619 | Sue Ellen Fisher | Registered Nurse | 2994 Tolcate Ln, Salt Lake City, UT 84121-1529 | 2005-12-29 |
1497745301 | Debra Lynn Falvo | Registered Nurse | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2005-10-24 |
1043835630 | Cynthia Garbett | Registered Nurse | 265 E 100 S Ste 250, Salt Lake City, UT 84111-1643 | 2020-06-10 |
1700121332 | Christian Michael Judd | Registered Nurse | 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124 | 2012-12-08 |
1538350749 | Samuel B Vincent | Registered Nurse | 404 S 400 W, Salt Lake City, UT 84101-2201 | 2007-08-05 |
1700908159 | Rebecca Clough | Registered Nurse | 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2007-04-05 |
1164490520 | Theresa J. Mccormick | Registered Nurse | 1399 S 700 E, Suite F-14, Salt Lake City, UT 84105-2149 | 2006-03-10 |
Find all providers in SALT LAKE CITY |
City | SALT LAKE CITY |
Zip Code | 84121 |
Please comment or provide details below to improve the information on JOHN RICHARD MITCHELL.
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.