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

Shasta Nikita Mitchell, DNP

Individual provider Registered Nurse · NPI 1134680093

Shasta Nikita Mitchell, DNP is a Nurse Practitioner in Salt Lake City, Utah. Qualified in 2022, 4 years ago. Practices with Center for Human Potential Inc, a 12-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
4
Licensed in
UT
In the registry since
2019
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

1875 S Redwood Rd
Salt Lake City, UT 84104-5112
Phone: (435) 764-0156
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 6641648-4405 (UT)
Registered Nurse Taxonomy 163W00000X · Licence 6641648-3102 (UT)

Record details

NPI number1134680093
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP
Sole proprietorNo
NPI enumeratedMarch 25, 2019
Last updated in NPPESMarch 13, 2024
Certification dateMarch 13, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Center For Human Potential Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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