JESI V MITCHELL (NPI# 1639784101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639784101 |
| Entity Type | Individual |
| Full Name | JESI V MITCHELL |
| Credential | NP |
| Practice Address |
4362 Us Highway 259 N Longview TX 75605-7674 |
| Mailing Address |
6103 Fm 556 Gilmer TX 75644-5072 |
| Practice Telephone | 9036632331 |
| Mailing Telephone | 9037388256 |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
1006382 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
1006382 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
4362 US HIGHWAY 259 N |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75605-7674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205104270 | East Texas Careteam, Inc | Home Health | 4362 Us Highway 259 N, Longview, TX 75605-7674 | 2011-12-06 |
| 1184125742 | Lanie Lenhart | Speech-Language Pathologist | 4362 Us Highway 259 N, Longview, TX 75605-7674 | 2018-02-27 |
| 1447751466 | Jodie Manley | Speech-Language Pathologist | 4362 Us Highway 259 N, Longview, TX 75605-7674 | 2018-02-25 |
| 1073014221 | Elena Flores | Occupational Therapy Assistant | 4362 Us Highway 259 N, Longview, TX 75605-7674 | 2018-02-23 |
| 1245730829 | Susan Elaine Harrington | Speech-Language Pathologist | 4362 Us Highway 259 N, Longview, TX 75605-7674 | 2018-02-20 |
| 1356693493 | Faith Palliative Care Management, Inc. | Hospice Care, Community Based | 4362 Us Highway 259 N, Suite B, Longview, TX 75605-7674 | 2012-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
| 1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
| 1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
| 1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
| 1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
| 1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
| 1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
| 1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
| 1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
| 1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
| Find all providers in zip 75605 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700439288 | Julia Marie Gibbons | Nurse Practitioner | 1152 Douglas St, Longview, WA 98632-2452 | 2019-07-23 |
| 1174881635 | Angela Quinn | Nurse Practitioner | 1615 Delaware St, Suite 200, Longview, WA 98632-2367 | 2012-05-02 |
| 1558509943 | Virginia Gerise Cowden-kretzler | Nurse Practitioner | 1044 11th Ave, Longview, WA 98632-2506 | 2009-01-23 |
| 1851375091 | Deanne C Timm | Nurse Practitioner | 1718 E Kessler Blvd, Longview, WA 98632-1842 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275778 | Anel Odette Chavez | Nurse Practitioner | 1006 Sage Ln, Edinburg, TX 78539-7820 | 2020-11-04 |
| 1104427335 | Randel Bond | Nurse Practitioner | 337 Woodstone Loop, Cibolo, TX 78108-3268 | 2020-11-04 |
| 1467051870 | Melinda Davis-mcclendon | Nurse Practitioner | 2158 River Edge Dr, Belton, TX 76513-1429 | 2020-10-19 |
| 1053910489 | Morgan Lee Lemoine | Nurse Practitioner | 1811 Stephen Dr, Wylie, TX 75098-0258 | 2020-10-17 |
| 1255939740 | Melissa Walles George | Nurse Practitioner | 941 Scotland Dr, Desoto, TX 75115-2058 | 2020-10-15 |
| 1487251377 | Karen Baricaua Bautista | Nurse Practitioner | 1912 78th St, Lubbock, TX 79423-2455 | 2020-10-05 |
| 1205443132 | Rincy P Mathew | Nurse Practitioner | 10935 Estate Ln Ste 400, Dallas, TX 75238-5110 | 2020-09-24 |
| 1326654724 | Connie Sue Fiser | Nurse Practitioner | 248 Cass Cir, Flint, TX 75762-6990 | 2020-09-21 |
| 1588279525 | Marquita Michelle Pickens | Nurse Practitioner | 6817 Historic Vw, Dallas, TX 75236-0109 | 2020-09-15 |
| 1033723184 | Rita Chibuzor Nwajei | Nurse Practitioner | 2726 Atlas Dr, Missouri City, TX 77459-6745 | 2020-09-06 |
| 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.