Miss Renae Tylynne Mitchell (NPI# 1205432705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1205432705 |
| Entity Type | Individual |
| Full Name | Miss Renae Tylynne Mitchell |
| Credential | MSN, APRN, FNP-C |
| Gender | Female |
| Practice Address |
17223 N Cave Creek Rd Unit 9 Phoenix AZ 85032-2481 |
| Practice Telephone | 4807383221 |
| Mailing Address |
17223 N Cave Creek Rd Unit 9 Phoenix AZ 85032-2481 |
| Mailing Telephone | 4807383221 |
| Sole Proprietor | No, this individual is not a Sole Proprietor |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2020-12-09 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| No | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | RN171399 | AZ |
| Yes | 207QA0401X | Family Medicine · Addiction Medicine | Allopathic & Osteopathic Physicians | RN171399 | AZ |
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588299176 | Arizona Healthy Clinic LLC | Family Medicine | 4344 W Indian School Rd Ste 8, Phoenix, AZ 85031-2939 | 2020-03-04 |
| 1093978207 | Milton Wright Do Plc | Family Medicine | 13825 N 7th St., Suite A, Phoenix, AZ 85022 | 2008-07-08 |
| 1912166620 | Michael Denicole | Family Medicine | 2132 E Northview Ave, Phoenix, AZ 85020-5661 | 2008-06-06 |
| 1265572358 | David G Greenberg | Family Medicine | 810 W Bethany Home Rd, Phoenix, AZ 85013-1654 | 2007-02-07 |
| 1356857262 | Pgf Medical Services Pllc | Family Medicine | 5656 E Orange Blossom Ln Ste 5, Phoenix, AZ 85018-8139 | 2017-12-15 |
| 1972896520 | Simon Olstein | Family Medicine | 5656 E Orange Blossom Ln Ste 5, Phoenix, AZ 85018-8139 | 2011-05-16 |
| 1235304171 | Edmond Lowe Baker Jr. | Family Medicine | 4220 N 20th Ave, Phoenix, AZ 85015-5124 | 2008-04-22 |
| 1255496469 | George Stavros | Family Medicine | 3825 N 24th St, Phoenix, AZ 85016-6512 | 2006-12-27 |
| 1467517672 | Jerry Bains | Family Medicine | 3825 N 24th St, Phoenix, AZ 85016-6512 | 2006-12-27 |
| 1225093008 | Napoleon Ortiz | Family Medicine | 1108 W Indian School Rd, Ste B, Phoenix, AZ 85013-3107 | 2006-04-17 |
| Find all providers in PHOENIX | ||||
| Street Address |
17223 N CAVE CREEK RD UNIT 9 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85032-2481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
| 1326688573 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 | 2020-01-15 |
| 1740836642 | Integrated Medical Services Inc | Anesthesiology | 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 | 2019-08-15 |
| 1639739576 | Sarah Martin | Physical Therapy Assistant | Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 | 2019-06-13 |
| 1750846168 | Conte Sport Performance Therapy LLC | Physical Therapist | 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 | 2019-02-11 |
| 1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
| 1083100812 | Phoenix Interventional Pain Management, Pllc | Anesthesiology | 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 | 2018-07-04 |
| 1770074635 | Np Professional LLC | Clinic/Center | 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 | 2018-05-25 |
| 1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
| 1396263307 | Cheryl Anne Miller | Registered Nurse | 15002 N. 32nd St., Phoenix, AZ 85032 | 2017-08-30 |
| Find all providers in zip 85032 | ||||
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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.