CLEMAINE CHARITA MITCHELL (NPI# 1861824773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861824773 |
| Entity Type | Individual |
| Full Name | CLEMAINE CHARITA MITCHELL |
| Credential | APN-C |
| Practice Address |
1167 Nostrand Ave Brooklyn NY 11225-5417 |
| Mailing Address |
38 Meadowlands Pkwy 5 Secaucus NJ 07094-2925 |
| Practice Telephone | 7187780198 |
| Practice Fax Number | 7182218169 |
| Mailing Telephone | 5512577015 |
| Mailing Fax Number | 2015522358 |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2016-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
F338530 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
26NR11384700 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00695941 | 05 |
| Street Address |
1167 NOSTRAND AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11225-5417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790712289 | Martin D Bruner | Social Worker | 1167 Nostrand Ave, Brooklyn, NY 11225-5417 | 2006-06-28 |
| 1265891485 | Enjoli Mcqueen King | Nurse Practitioner | 1167 Nostrand Ave, Brooklyn, NY 11225-5417 | 2016-02-16 |
| 1104210426 | Rebecca Lee | Family Medicine | 1167 Nostrand Ave, Brooklyn, NY 11225-5417 | 2015-03-25 |
| 1760872113 | Adrian Costello | Social Worker | 1167 Nostrand Ave, Brooklyn, NY 11225-5417 | 2015-01-23 |
| 1760871271 | Caroline Swigert Brigham | Social Worker | 1167 Nostrand Ave, Brooklyn, NY 11225-5417 | 2015-01-21 |
| 1669721189 | Chasya Soroka | Social Worker | 1167 Nostrand Ave, Brooklyn, NY 11225-5417 | 2012-08-29 |
| 1710247564 | Lauren Jacqueline Sanders | Nurse Practitioner | 1167 Nostrand Ave, Brooklyn, NY 11225-5417 | 2012-05-25 |
| 1003103052 | Chase Brad Girvin | Counselor | 1167 Nostrand Ave, Brooklyn, NY 11225-5417 | 2011-06-28 |
| 1649598731 | Vyacheslav Mikheyev | Family Medicine | 1167 Nostrand Ave, Brooklyn, NY 11225-5417 | 2010-05-13 |
| 1689997827 | Faith Okukwe Okuesi | Registered Nurse | 1167 Nostrand Ave, Brooklyn, NY 11225-5417 | 2010-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912533761 | Mona Joseph | Registered Nurse | 1141 Carroll St, Brooklyn Ny 11225, 1141 Carroll St, Brooklyn, NY 11225 | 2020-03-12 |
| 1144889924 | Healthy Smiles Pediatric Dentistry Pllc | Dentist | 540 East New York Avenue, Brooklyn, NY 11225 | 2019-06-06 |
| 1972169969 | Brendy Y Alofe | Licensed Practical Nurse | 49 Crown Street, #8k, Brooklyn, NY 11225 | 2019-05-15 |
| 1912479676 | Michael Thompson | Licensed Practical Nurse | 381 E New York Ave, Brooklyn, NY 11225 | 2018-12-19 |
| 1891241592 | Jeffery Conrad Lawrence | Psychiatry & Neurology | 573 East New York Ave., Apt 1, Brooklyn, NY 11225 | 2016-09-01 |
| 1629462437 | Maria Gonzalo | Social Worker | 29 Rutland Road, Brooklyn, NY 11225 | 2015-03-19 |
| 1700297041 | Chaya Kaufmann | Registered Nurse | 301 Sullivan Place, Apt 4m, Brooklyn, NY 11225 | 2014-05-08 |
| 1629491337 | Lawanna Mackie | Social Worker | 915 Washington Ave., Apt. 1b, Brooklyn, NY 11225 | 2014-01-31 |
| 1003238239 | Elizabeth Obiamaka Obiora I | Licensed Practical Nurse | 140 E New York Ave, 4-f, Brooklyn, NY 11225 | 2014-01-07 |
| 1770928970 | Jonathan Kogen Phd PC | Psychologist | 169 Sterling Street, Brooklyn, NY 11225 | 2013-05-02 |
| Find all providers in zip 11225 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750717476 | Lea Brener | Clinical Nurse Specialist | 8855 Bay Pkwy Apt 10k, Brooklyn, NY 11214-6410 | 2013-09-26 |
| 1255659439 | Verna Fleary-alexis | Clinical Nurse Specialist | 379 Lincoln Rd, Brooklyn, NY 11225-4358 | 2010-05-12 |
| 1801042395 | Hildred J Castle | Clinical Nurse Specialist | 600 Kingston Ave, Room H 107, Brooklyn, NY 11203-1704 | 2008-08-15 |
| 1457996241 | Kofi Adomako | Clinical Nurse Specialist | 145 E 18th St, Brooklyn, NY 11226-4362 | 2019-11-15 |
| 1225469331 | Mayya K Gitelman | Clinical Nurse Specialist | 3101 Ocean Pkwy, Brooklyn, NY 11235-8440 | 2013-11-29 |
| 1689844581 | Irina Sher | Clinical Nurse Specialist | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2008-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598290710 | Koudedja Dembele | Clinical Nurse Specialist | 16 Locust Ave Apt 1h, New Rochelle, NY 10801-7331 | 2017-04-25 |
| 1174067607 | Irena Hartell | Clinical Nurse Specialist | 4 Rolling Way, F, Peekskill, NY 10566-2433 | 2016-12-19 |
| 1245659895 | Femi Abioye | Clinical Nurse Specialist | 187 Beach 73rd St, Arverne, NY 11692-1267 | 2014-04-10 |
| 1780019778 | Mary B Moran | Clinical Nurse Specialist | Capna 51 West 51st, Suite 100, New York, NY 10019 | 2013-09-09 |
| 1891088027 | Quality Np Family Health, PC | Clinical Nurse Specialist | 2928 Ditmars Blvd, Second Floor, Astoria, NY 11105-2731 | 2011-05-20 |
| 1366733123 | Sheena Varghese | Clinical Nurse Specialist | 514 N 11th St, New Hyde Park, NY 11040-4213 | 2011-04-28 |
| 1114223062 | Durline Marie Brown-manhertz | Clinical Nurse Specialist | 1825 Eastchester Road, Div of Cardiology, Montefiore Medical Center (weiler Div.), Bronx, NY 10461 | 2011-02-09 |
| 1881911303 | Catherine I. Adamcewicz | Clinical Nurse Specialist | 15 Locust Rd, Northport, NY 11768-1819 | 2010-04-23 |
| 1336479880 | Mollie Malka Mandel | Clinical Nurse Specialist | 11109 76th Ave, Forest Hills, NY 11375-6466 | 2010-01-06 |
| 1861658452 | Marilyn Ann Rich | Clinical Nurse Specialist | 700 Ashford Way, Victor, NY 14564-9766 | 2008-08-03 |
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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.