Individual
KRISTA NICHOLE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2724 PERCHERON DR, MESQUITE, TX 75150-4031
(214) 507-2568
Mailing address
445 STONE CANYON DR, SUNNYVALE, TX 75182-4605
(214) 507-2568
(972) 226-0704
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
172A00000X
Driver
Primary
16606230
TX
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16606230
DRIVERS LICENSE
TX
Enumeration date
05/27/2020
Last updated
01/21/2026
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