Kelley Mitchell , KELLEY
Licensed Practical Nurse β’ Dayton, OH
4629 Cummings Ct
Dayton, OH 454171440
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
4629 Cummings Ct
Dayton, OH 454171440
What Public CMS Data Show
Licensed Practical Nurse: NPPES taxonomy is a reported classification, not proof of board certification.
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, βDoes your provider accept Medicare as full payment?β
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.
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Addresses are self-reported to NPPES and may be out of date.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: 2025-08-25NUCC Taxonomy Code: 164W00000X
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.
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.
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
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Home Health
Licensed Practical Nurse (license number reported to NPPES: OH 188829)
Technician
NPI status registered as active in NPPES database
Registered at 4629 CUMMINGS CT, DAYTON, OH 454171440 (Tel: 9375207966)
Registered at 4629 CUMMINGS CT, DAYTON, OH 454171440 (Tel: 9375207966)
Recorded as KELLEY MITCHELL, KELLEY
Home Health
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
4629 Cummings Ct
Dayton, OH 454171440
Phone: 9375207966