Kristen Blake Mitchell (NPI# 1912394917, PAC ID# 4284968694) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1912394917 |
| PAC ID by PECOS | 4284968694 |
| Professional Enrollment ID | I20190618003010 |
| Full Name | Kristen Blake Mitchell |
| Organization Legal Name | ABILENE DIAGNOSTIC CLINIC, PLLC |
| Address |
1680 Antilley Rd Suite 321 Abilene TX 79606-5279 |
| Phone Number | 3256954969 |
| Gender | F |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 5597747378 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450558 | ABILENE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1680 Antilley Rd, Suite 321, Abilene, TX 79606-5279 | 3256954969 | ABILENE DIAGNOSTIC CLINIC, PLLC |
| Organization Legal Name | ABILENE DIAGNOSTIC CLINIC, PLLC |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peggy Leigh Riley | Nurse Practitioner | Abilene Diagnostic Clinic, Pllc | 3449 N 10th St, Abilene, TX 79603-4640 |
| Beil C Brown | Podiatry | Abilene Diagnostic Clinic, Pllc | 1665 Antilley Rd, Suite 210, Abilene, TX 79606-5276 |
| Christy Marie Bain | Nurse Practitioner | Abilene Diagnostic Clinic, Pllc | 1665 Antilley Rd, Abilene, TX 79606-5249 |
| Thomas L Headstream | Internal Medicine | Abilene Diagnostic Clinic, Pllc | 1665 Antilley Rd, Suite 200, Abilene, TX 79606-5271 |
| Raul Calvo | Family Medicine | Abilene Diagnostic Clinic, Pllc | 1665 Antilley Rd, Abilene, TX 79606-5249 |
| Alan K Nichols | Nurse Practitioner | Abilene Diagnostic Clinic, Pllc | 1665 Antilley Rd, Suite 200, Abilene, TX 79606-5271 |
| Lynn Robinson | Internal Medicine | Abilene Diagnostic Clinic, Pllc | 1665 Antilley Rd, Suite 120, Abilene, TX 79606-5249 |
| Teresa K Headstream | Nurse Practitioner | Abilene Diagnostic Clinic, Pllc | 1665 Antilley Rd, Suite 200, Abilene, TX 79606-5271 |
| Thomas Wade Cotney | Otolaryngology | Abilene Diagnostic Clinic, Pllc | 1665 Antilley Rd, Suite 180, Abilene, TX 79606-5249 |
| James J Purpura | Family Medicine | Abilene Diagnostic Clinic, Pllc | 1665 Antilley Rd, Abilene, TX 79606-5249 |
| Street Address |
1680 ANTILLEY RD SUITE 321 |
| City | ABILENE |
| State | TX |
| Zip | 79606-5279 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole Christine Bullock | Obstetrics/gynecology | Dcf | 1680 Antilley Rd, Abilene, TX 79606-5247 |
| Farley Berry Graden Neasman | Cardiovascular Disease (cardiology) | Dcf | 1680 Antilley Rd, Abilene, TX 79606-5247 |
| Clayton P Bulls | Physician Assistant | Dcf | 1680 Antilley Rd, Abilene, TX 79606-5247 |
| Eugene Victor Hudman Ii | Internal Medicine | Dcf | 1680 Antilley Rd, Abilene, TX 79606-5247 |
| Lanoard M Bayouth | Cardiovascular Disease (cardiology) | Dcf | 1680 Antilley Rd, Abilene, TX 79606-5247 |
| John M Frailing | Physician Assistant | Dcf | 1680 Antilley Rd, Abilene, TX 79606-5247 |
| Kyle R Mcclendon | Physician Assistant | Dcf | 1680 Antilley Rd, Abilene, TX 79606-5247 |
| Scott S Carpenter | General Surgery | Dcf | 1680 Antilley Rd, Suite 110, Abilene, TX 79606-5247 |
| Richard D Stanley | Obstetrics/gynecology | Dcf | 1680 Antilley Rd, Abilene, TX 79606-5247 |
| Chukwuemeka Charles Ezeoke | Gastroenterology | Dcf | 1680 Antilley Rd, Abilene, TX 79606-5247 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jai Laitinen | Nurse Practitioner | Taylor Emergency Medicine Associates Pa | 6250 Hwy 83-84, Abilene, TX 79606 |
| Erik Robert Hargett | Nurse Practitioner | Taylor Emergency Medicine Associates Pa | 6250 Hwy 83-84, Abilene, TX 79606 |
| Dale Lee Wren | Emergency Medicine | Taylor Emergency Medicine Associates Pa | 6250 Hwy 83-84, Abilene, TX 79606 |
| Brandon Dupont | Emergency Medicine | Taylor Emergency Medicine Associates Pa | 6250 Hwy 83-84, Abilene, TX 79606 |
| David Nash | Nurse Practitioner | Taylor Emergency Medicine Associates Pa | 6250 Hwy 83-84, Abilene, TX 79606 |
| Travis Frederick Mackenzie | Emergency Medicine | Taylor Emergency Medicine Associates Pa | 6250 Hwy 83-84, Abilene, TX 79606 |
| Richard Young Thorpe | Internal Medicine | Taylor Emergency Medicine Associates Pa | 6250 Hwy 83-84, Abilene, TX 79606 |
| Christian P Mannsfeld | Emergency Medicine | Taylor Emergency Medicine Associates Pa | 6250 Hwy 83-84, Abilene, TX 79606 |
| Glenn R Kunsman | Emergency Medicine | Taylor Emergency Medicine Associates Pa | 6250 Hwy 83-84, Abilene, TX 79606 |
| Jeffrey D Johnson | Certified Registered Nurse Anesthetist (crna) | 5601 Health Ctr Dr, Abilene, TX 79606-1225 | |
| Find all physicians in zip 79606 | |||
| City | ABILENE |
| Zip Code | 79606 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | ABILENE + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Kristen Blake Mitchell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.