SANDRA KAY MITCHELL (NPI# 1790950103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790950103 |
| Entity Type | Individual |
| Full Name | SANDRA KAY MITCHELL |
| Practice Address |
324 Mulberry Ave W Wynne AR 72396-2813 |
| Practice Telephone | 8072085444 |
| Mailing Telephone | 8072085444 |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 166087783 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669839940 | Sandra Mitchell | Counselor | 613 Lake Dr, Medford, NY 11763-4610 | 2016-01-18 |
| 1558759621 | Sandra M Mitchell | Registered Nurse | 81 Lorraine Ter Apt 341, Mount Vernon, NY 10553-1235 | 2014-12-24 |
| 1639292196 | Sandra J Mitchell | Counselor | 161 St. Helens Street, St. Helens, OR 97051-3200 | 2007-04-09 |
| 1962414664 | Sandra Kay Mitchell | Pharmacist | 601 State Route 28 E, Owensville, MO 65066-1450 | 2006-08-12 |
| 1841243276 | Sandra Arlene Mitchell | Speech-Language Pathologist | 11 Cherrywood Ct, Little Rock, AR 72211-4511 | 2006-05-18 |
| 1205802451 | Sandra Rodriguez Mitchell | Registered Nurse | 148 Lake Manor Dr, Kingsland, GA 31548-6274 | 2006-02-27 |
| 1770081705 | Sandra Ann Mitchell | Registered Nurse | 1791 Alum Creek Dr, Columbus, OH 43207-1708 | 2018-01-24 |
| 1235570979 | Sandra M Mitchell | Clinical Neuropsychologist | 1100 E Dimond Blvd, Anchorage, AK 99515-2010 | 2013-07-10 |
| 1801123450 | Sandra Lee Mitchell | Technician/Technologist | 3929 Mccain Blvd, 13 & 14, North Little Rock, AR 72116-8011 | 2009-11-03 |
| 1912100264 | Sandra Mitchell | Licensed Practical Nurse | 1019 E Water St, Elmira, NY 14901-3332 | 2007-06-06 |
| Street Address |
324 MULBERRY AVE W |
| City | WYNNE |
| State | AR |
| Zip Code | 72396-2813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962918813 | David Makool | Occupational Therapy Assistant | 2000 Gogbill Road, Wynne, AR 72396 | 2017-12-14 |
| 1912425554 | Barbara Ann Burgess | Case Manager/Care Coordinator | 661 Addison, Wynne, AR 72396 | 2017-09-05 |
| 1518481308 | Tyler Leigh Shumard | Physical Therapy Assistant | 128 County Road 145, Wynne, AR 72396 | 2017-08-02 |
| 1588957476 | Northeast Arkansas Community Mental Health Center | Counselor | 661 Addison Dr., Wynne, AR 72396 | 2011-05-25 |
| 1417106493 | Katherine Danielle Calhoun | Dietitian, Registered | 1013 Bridges Ave East, Wynne, AR 72396 | 2008-09-15 |
| 1053531319 | George Scott Puryear, Dds, Pa | Dentist | 715 East Eldrdige Avenue, Wynne, AR 72396 | 2007-04-27 |
| 1730245465 | Marilyn J Cullum | Counselor | 1742 Falls Blvd. Suite 5, The Logan Center, Wynne, AR 72396 | 2006-12-28 |
| 1770655185 | Robert Walton Bassham | Dentist | 669 Addison Drive, Wynne, AR 72396 | 2006-11-14 |
| 1073683827 | George Scott Puryear Jr. | Dentist | 715 E. Eldridge Ave, Wynne, AR 72396 | 2006-11-09 |
| 1194809517 | Richard Keeter Toland | Dentist | 2100 North Killough, Wynne, AR 72396 | 2006-10-24 |
| Find all providers in zip 72396 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748573 | Tammy Dawn Mckeehan | Technician | 29888 Highway 84, Malvern, AR 72104-8538 | 2020-10-20 |
| 1346855038 | Kimberly Ferguson | Technician | 4103 Reynolds Park Road, Paragould, AR 72450-2118 | 2020-09-10 |
| 1871104182 | Michele Lynn Jones | Technician | 2905 Stonegate Dr, Paragould, AR 72450 | 2020-08-11 |
| 1518584077 | Robert Ray Davis | Technician | 1519 Mulberry Salem Rd, Benton, AR 72019-8253 | 2020-07-01 |
| 1477179422 | Bianca Smith | Technician | 136 Pecan St, Marked Tree, AR 72365-1926 | 2020-06-24 |
| 1508482001 | Mid-south Personal Care Agency, LLC | Technician | 83 Harvard Rd, Marion, AR 72364-9738 | 2020-06-19 |
| 1568098036 | Lynn Hodge | Technician | 18803 Strawberry Plant Rd, Fayetteville, AR 72704-8587 | 2020-03-17 |
| 1225663073 | Martha Hall | Technician | 144 Morningside Drive, Marion, AR 72364 | 2020-03-11 |
| 1053945352 | Robert Leroy Johnson | Technician | 29 Tucker Rd, Hardy, AR 72542-9115 | 2020-02-25 |
| 1700410263 | Jessica Smith | Technician | 4112 Sugar Maple Ln, Little Rock, AR 72223-2161 | 2020-02-24 |
| 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.