Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kanieshia M Mitchell, NP

Individual provider Nurse Practitioner · NPI 1629614003

Kanieshia M Mitchell, NP is a Nurse Practitioner in Gulfport, Mississippi. Qualified in 2015, 11 years ago. Practices with Diversified Renal Group LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
11
Licensed in
MS
In the registry since
2019
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

4500 13th St
Gulfport, MS 39501-2569
Phone: (228) 867-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 903399 (MS)

Record details

NPI number1629614003
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedNovember 21, 2019
Last updated in NPPESApril 6, 2020
Certification dateApril 6, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Diversified Renal Group Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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