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Kelley Mitchell , KELLEY

Licensed Practical Nurse β€’ Dayton, OH

Active NPI 1235692922 Individual Practitioner Female Practitioner
Practice location in NPPES

4629 Cummings Ct
Dayton, OH 454171440

Call 9375207966 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4629 Cummings Ct

Dayton, OH 454171440

Telephone 9375207966

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Dayton and Ohio

638 active clinicians are listed under Licensed Practical Nurse with a practice address in Dayton, OH (12,649 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Dayton

0% of these 638 clinicians have the CMS telehealth indicator.

0% of these 638 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-08-25
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES OH 188829

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.

Home Health

NUCC Taxonomy Code: 251E00000X

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Technician - Personal Care Attendant

NUCC Taxonomy Code: 3747P1801X

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2025

Home Health

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2025

Licensed Practical Nurse (license number reported to NPPES: OH 188829)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2023

Technician

βœ…
NPI Profile Active April 09, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 09, 2019

Registered at 4629 CUMMINGS CT, DAYTON, OH 454171440 (Tel: 9375207966)

πŸ“
Business Mailing Address (Initial Record) April 09, 2019

Registered at 4629 CUMMINGS CT, DAYTON, OH 454171440 (Tel: 9375207966)

πŸ‘€
Provider Name / Credentials (Initial Record) April 09, 2019

Recorded as KELLEY MITCHELL, KELLEY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2019

Home Health

🟒
Initial NPI Registration & Enumeration April 09, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1235692922
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 09, 2019
Last Update: August 25, 2025
Sole Proprietor: Yes

Mailing Address

4629 Cummings Ct

Dayton, OH 454171440

Phone: 9375207966

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.