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Deactivated NPI 1407204548 Deactivated / Inactive NPI Female Practitioner

Debora Ann Mitchell , LPN

Licensed Practical Nurse • Onamia, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Debora Mitchell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 31, 2016
NPI Deactivation Date June 13, 2018
Total Practice Duration ~2 Years of Practice (2016 – 2018)

Professional Overview & Biography Verified Profile Summary

Debora Mitchell, LPN was a registered Licensed Practical Nurse practicing in Onamia, MN. Throughout an active medical career spanning 2 years, Debora Mitchell provided care at the practice location at 17230 NOOPIMING DR until profile deactivation on 2018-06-13.

Practice Location & Contact Primary Location

Practice Address

17230 Noopiming Dr

Onamia, MN 563594522

Telephone 3205327776
Fax 3205327524
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Onamia, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Onamia, MN (881 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MN L 057904-9

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Jacquline Jensen , RN

Registered Nurse

NPI 1083848907

Registered Nurse

Mary Mercado , RN

Registered Nurse

NPI 1104123306

Registered Nurse

Kristen Reiter , LPN

Licensed Practical Nurse

NPI 1104202928

Licensed Practical Nurse

Betty Nichols , RN

Registered Nurse

NPI 1164569760

Registered Nurse

Linda Moses , HHA

Home Health Aide

NPI 1164656765
Deanna Thielbar , RN

Registered Nurse

NPI 1235276858

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 13, 2018

Record deactivated on June 13, 2018

NPI Profile Active May 31, 2016

NPI status registered as active in NPPES database

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Updated Practice Location May 31, 2016

Registered at 17230 NOOPIMING DR, ONAMIA, MN 563594522 (Tel: 3205327776)

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Updated Business Mailing Address May 31, 2016

Registered at 17230 NOOPIMING DR, ONAMIA, MN 563594522 (Tel: 3205327776)

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Provider Name / Credentials Updated May 31, 2016

Recorded as DEBORA MITCHELL, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2016

Licensed Practical Nurse (License #L 057904-9 in MN)

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Initial NPI Registration & Enumeration May 31, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407204548
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2016
Last Update: May 31, 2016
Deactivation Date: June 13, 2018

Mailing Address

17230 Noopiming Dr

Onamia, MN 563594522

Phone: 3205327776

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.