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KORY LANCE MITCHELL ACUTE CARE NURSE PRA NPI 1588735104


NPI Information

NPI: 1588735104
Provider Name: KORY LANCE MITCHELL, ACUTE CARE NURSE PRA
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: UMC PHYSICIANS

PECOS Registration: Yes

Address:
3502 9TH ST STE 260
LUBBOCK, TX
ZIP 79415
Phone: (806) 792-8185
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Kory Lance Mitchell, ACUTE CARE NURSE PRA is an acute care nurse practitioner in Lubbock, TX with 19 years of experience. Kory Lance Mitchell, ACUTE CARE NURSE PRA NPI is 1588735104. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3502 9TH ST STE 260
LUBBOCK, TX
ZIP 79415-305
Phone: (806) 792-8185
Fax: (806) 792-9180

The NPI 1588735104 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Harvest of veins for coronary artery bypass procedure using an endoscope (HCPCS:33508)
  • Heart artery bypass to repair one artery (HCPCS:33533)
  • Combined multiple vein and artery heart artery bypasses (HCPCS:33519)
  • Combined multiple vein and artery heart artery bypasses (HCPCS:33518)

The enumeration date for this NPI number is 11/13/2006 and was last updated on 3/22/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WM0705XRegistered NurseMedical-Surgical663921TEXASNo
2363LA2100XNurse PractitionerAcute CareAP114881TEXASYes
3363LA2100XNurse PractitionerAcute Care663921TEXASNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
145939268MEDICAIDNEW MEXICO
28Y1753OTHERTEXASBCBS OF TEXAS
38Y5044OTHERTEXASBCBS OF TEXAS
4151566101OTHERFIRSTCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.