Destiny Mitchell (NPI# 1114309317, PAC ID# 6002122926) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1114309317 |
| PAC ID by PECOS | 6002122926 |
| Professional Enrollment ID | I20161217000192 |
| Full Name | Destiny Mitchell |
| Organization Legal Name | CITIZEN POTAWATOMI NATION |
| Address |
2307 Gordon Cooper Dr Shawnee OK 74801-9007 |
| Phone Number | 4052735236 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3375511488 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 4052735236 | CITIZEN POTAWATOMI NATION |
| 781 Grand Casino Blvd, Shawnee, OK 74804-1005 | 4059645770 | CITIZEN POTAWATOMI NATION |
| Organization Legal Name | CITIZEN POTAWATOMI NATION |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaylan Lanell Bell | Nurse Practitioner | Citizen Potawatomi Nation | 781 Grand Casino Blvd, Shawnee, OK 74804-1005 |
| Cameron Sikes | Optometry | Citizen Potawatomi Nation | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 |
| George A Vascellaro | Family Medicine | Citizen Potawatomi Nation | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 |
| Ryan Adams | General Practice | Citizen Potawatomi Nation | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 |
| Margaret Mary Troxell | Nurse Practitioner | Citizen Potawatomi Nation | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 |
| Vanessa J Sinor | Nurse Practitioner | Citizen Potawatomi Nation | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 |
| Megan Wilson | Family Medicine | Citizen Potawatomi Nation | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 |
| Jenae Baughman | Nurse Practitioner | Citizen Potawatomi Nation | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 |
| Crystal Marcum | Nurse Practitioner | Citizen Potawatomi Nation | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 |
| Kassi A Roselius | Family Medicine | Citizen Potawatomi Nation | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 |
| Street Address |
2307 GORDON COOPER DR |
| City | SHAWNEE |
| State | OK |
| Zip | 74801-9007 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cameron Sikes | Optometry | Citizen Potawatomi Nation | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 |
| George A Vascellaro | Family Medicine | Citizen Potawatomi Nation | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 |
| Ryan Adams | General Practice | Citizen Potawatomi Nation | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 |
| Margaret Mary Troxell | Nurse Practitioner | Citizen Potawatomi Nation | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 |
| Vanessa J Sinor | Nurse Practitioner | Citizen Potawatomi Nation | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 |
| Megan Wilson | Family Medicine | Citizen Potawatomi Nation | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 |
| Jenae Baughman | Nurse Practitioner | Citizen Potawatomi Nation | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 |
| Crystal Marcum | Nurse Practitioner | Citizen Potawatomi Nation | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 |
| Kassi A Roselius | Family Medicine | Citizen Potawatomi Nation | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 |
| Walter Mclaughlin | Optometry | Citizen Potawatomi Nation | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan D Cargill | Clinical Psychologist | 23 E 9th, Suite 311, Shawnee, OK 74801 | |
| Ken D Bond | Psychologist, Clinical | 1127 N Kickapoo Ave, Shawnee, OK 74801-4845 | |
| Vicki Cunningham | Chiropractic | 678 Kickapoo Spur St, Suite B, Shawnee, OK 74801-4851 | |
| Willena Duree | Chiropractic | 318 W Highland St, Shawnee, OK 74801-6738 | |
| Heather Adams | Occupational Therapy | Select Physical Therapy Holdings Inc | 412 N Broadway Ave, Number 416, Shawnee, OK 74801-6922 |
| Christina Albert | Physical Therapy | Select Physical Therapy Holdings Inc | 412 N Broadway Ave, Number 416, Shawnee, OK 74801-6922 |
| Kimberly Johnston | Physical Therapy | Select Physical Therapy Holdings Inc | 412 N Broadway Ave, Number 416, Shawnee, OK 74801-6922 |
| Alia Young | Physical Therapy | Select Physical Therapy Holdings Inc | 412 N Broadway Ave, Number 416, Shawnee, OK 74801-6922 |
| Sandra K Choney | Clinical Psychologist | 400 N Bell, Shawnee, OK 74801-6924 | |
| Steven J Randolph | Clinical Social Worker | 23 E 9th St, Suite 321, Shawnee, OK 74801-6943 | |
| Find all physicians in zip 74801 | |||
| City | SHAWNEE |
| Zip Code | 74801 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SHAWNEE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Destiny 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.