NPI Code Detail JSON Logo

1215370002 NPI number — CHRISTINA NICOLE CORDEIRO MITCHELL M.D.

NPI Number: 1215370002
Health Care Provider/Practitioner: CHRISTINA NICOLE CORDEIRO MITCHELL M.D.

Information about “1215370002” NPI (CHRISTINA NICOLE CORDEIRO MITCHELL M.D.) exists in 1215370002 in HTML format HTML  |  1215370002 in plain Text format TXT  |  1215370002 in PDF (Portable Document Format) PDF  |  1215370002 in an XML format XML  formats.

NPI Number : 1215370002 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215370002",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MITCHELL",
    "FirstName": "CHRISTINA",
    "MiddleName": "NICOLE CORDEIRO",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CORDEIRO",
    "OtherFirstName": "CHRISTINA",
    "OtherMiddleName": "NICOLE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.D.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "9600 BLACKWELL RD STE 500",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROCKVILLE",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "20850-3783",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": "855-420-8517",
    "FirstLinePracticeLocationAddress": "300 KEISLER DR STE 102",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CARY",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27518-7083",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "984-464-2244",
    "PracticeLocationAddressFaxNumber": "984-464-3160",
    "EnumerationDate": "04/10/2013",
    "LastUpdateDate": "09/20/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207VE0102X",
        "TaxonomyName": "Reproductive Endocrinology Physician",
        "LicenseNumber": "2021-03301",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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