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1528568573 NPI number — RHONDA SHANNON MITCHELL CPM, LM

NPI Number: 1528568573
Health Care Provider/Practitioner: RHONDA SHANNON MITCHELL CPM, LM

Information about “1528568573” NPI (RHONDA SHANNON MITCHELL CPM, LM) exists in 1528568573 in HTML format HTML  |  1528568573 in plain Text format TXT  |  1528568573 in PDF (Portable Document Format) PDF  |  1528568573 in an XML format XML  formats.

NPI Number : 1528568573 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1528568573",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MITCHELL",
    "FirstName": "RHONDA",
    "MiddleName": "SHANNON",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "CPM, LM",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MITCHELL",
    "OtherFirstName": "R.",
    "OtherMiddleName": "SHANNON",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "CPM, LM",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "28631 NE TOLT HILL RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CARNATION",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98014-8205",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "727-667-8039",
    "MailingAddressFaxNumber": "425-274-1553",
    "FirstLinePracticeLocationAddress": "28631 NE TOLT HILL RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CARNATION",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98014-8205",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "727-667-8039",
    "PracticeLocationAddressFaxNumber": "425-274-1553",
    "EnumerationDate": "02/16/2018",
    "LastUpdateDate": "04/22/2020",
    "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": "174H00000X",
          "TaxonomyName": "Health Educator",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "174N00000X",
          "TaxonomyName": "Lactation Consultant (Non-RN)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "175M00000X",
          "TaxonomyName": "Lay Midwife",
          "LicenseNumber": "18040002",
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "374J00000X",
          "TaxonomyName": "Doula",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "176B00000X",
          "TaxonomyName": "Midwife",
          "LicenseNumber": "MW60861142",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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