DIANE LOUISE MITCHELL (NPI# 1629407325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629407325 |
| Entity Type | Individual |
| Full Name | DIANE LOUISE MITCHELL |
| Credential | FNP |
| Practice Address |
4650 Harvard Cir Fairbanks AK 99709 |
| Mailing Address |
4650 Harvard Cir Fairbanks AK 99709-3010 |
| Practice Telephone | 9074427237 |
| Mailing Telephone | 9073228223 |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1365 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | AK STATE LICENSE NUMBER | 1365 | 01 |
| AK | NP CERTIFICATION | F0313066 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710262159 | Diane Mitchell | Doula | 730 Sandhill Rd, Suite 100, Reno, NV 89521-6009 | 2011-10-17 |
| 1356553291 | Diane Mitchell | Licensed Practical Nurse | 6814 Kindred St, Philadelphia, PA 19149-2221 | 2007-05-04 |
| 1598897324 | Diane A Mitchell | Registered Nurse | 44 Groshon Ave Apt 3, Yonkers, NY 10701-4702 | 2007-03-09 |
| 1669502571 | Diane Hooke Mitchell | Nurse Practitioner | 231 Forest St., Babson Park, MA 02457 | 2007-03-07 |
| 1124035399 | Diane L. Mitchell | Physician Assistant | 1130 Talbotton Rd, Columbus, GA 31904-8749 | 2006-08-01 |
| 1861920274 | Diane Mitchell | Licensed Practical Nurse | 6527 Colerain Ave, Cincinnati, OH 45239-5537 | 2017-05-30 |
| 1134493224 | Diane E Mitchell | Nurse Practitioner | 1200 Edwards Ferry Rd Ne, Leesburg, VA 20176-3318 | 2012-03-07 |
| 1407175086 | Diane Kay Mitchell | Social Worker | 41 Montebello Rd Ste Ll1, Pueblo, CO 81001-1379 | 2010-05-22 |
| 1720122922 | Diane Mitchell | Pediatrics | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2007-02-19 |
| 1699838847 | Diane Mitchell | Obstetrics & Gynecology | 9300 Dewitt Loop, Dept of Ob Gyn, Fort Belvoir, VA 22060-5285 | 2006-12-19 |
| Street Address |
4650 HARVARD CIR |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946810 | Beacon Monitoring Professional Services | Technician, Other | 745 Staffordshire Rd, Fairbanks, AK 99709 | 2020-09-10 |
| 1235629544 | Fairbanks Healing Space | Health Educator | 3875 Geist Road, Suite E #136, Fairbanks, AK 99709 | 2018-05-11 |
| 1609395409 | Shawn K Goggins | Counselor | 1423 Peger Road, Fairbanks, AK 99709 | 2017-09-12 |
| 1710433347 | Jay Titus | Technician/Technologist | 2884 Marina Drive, Fairbanks, AK 99709 | 2016-09-01 |
| 1710391610 | Hannah Summerfelt | Dentist | 3539 Thomas St, Fairbanks, AK 99709 | 2014-06-18 |
| 1407147929 | Christina Martz | Counselor | 1270 Summet Drive, Fairbanks, AK 99709 | 2011-05-02 |
| 1255652285 | Surgery Center of Fairbanks LLC | Clinic/Center | 2310 Peger Road, Fairbanks, AK 99709 | 2010-06-14 |
| 1962661835 | John Leo Hughes Jr Jr. | Dentist | 3437 Airport Way, Suite 205, Fairbanks, AL 99709 | 2008-06-05 |
| 1508042417 | Katherine E Johnson, Md PC | Ophthalmology | 2485 Chief William Drive, Suite 100, Fairbanks, AK 99709 | 2008-01-10 |
| 1245449362 | David Kirk Smith | Chiropractor | 899 Chena Pump Road, Suite B, Fairbanks, AK 99709 | 2007-05-22 |
| Find all providers in zip 99709 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710535380 | Peter Harvey | Nurse Practitioner | 755 Knightsbridge Rd, Fairbanks, AK 99709-2477 | 2019-08-27 |
| 1942765052 | Jamie Marie Bourque | Nurse Practitioner | 1788 Yukon Drive, Fairbanks, AK 99775-5580 | 2019-02-02 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1134667165 | Lauren Westrom | Nurse Practitioner | 1587 Drouin Rd, Fairbanks, AK 99709-5953 | 2017-02-10 |
| 1811356330 | Joseph Grimes | Nurse Practitioner | 132 Foran Cir, Fairbanks, AK 99712-2404 | 2016-02-11 |
| 1922482330 | Anna Fath | Nurse Practitioner | 5165 Palo Verde Ave, Fairbanks, AK 99709-3130 | 2015-07-15 |
| 1457490328 | Donna M Patrick | Nurse Practitioner | 612 N. Chandalar, Fairbanks, AK 99775-5580 | 2007-02-06 |
| 1841337334 | Nancy Prudence Bayer | Nurse Practitioner | 612 North Chandalar Ave, Fairbanks, AK 99775-5580 | 2007-01-31 |
| 1295769859 | Victoria Anne Wallace | Nurse Practitioner | 1931 Eagan Ave, Fairbanks Correctional Center, Fairbanks, AK 99701-5703 | 2006-07-10 |
| 1043243470 | Anne Marie Lilley | Nurse Practitioner | 1275 Sadler Way, #101, Fairbanks, AK 99701-3171 | 2006-07-09 |
| Find all providers in FAIRBANKS | ||||
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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.