Sherry Diann Mitchell, APRN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R0080778 Issued in OK

Practice address

309 W. 2ND St.
Wellston, OK 74881

Phone

(405) 356-2998

Fax

(405) 356-9937

NPI assigned

Aug 11, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Consulting Medical, PLLC

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1184269706

  OK

  Medicare reassignment NPD
• Integrated Medical Incorporated

  • Urgent Care Clinic/Center
  • Oklahoma City, OK
  • NPI 1487837456

  OK

  Medicare reassignment NPD
• Integrated Medical Incorporated

  • Urgent Care Clinic/Center
  • Tulsa, OK
  • NPI 1386448181
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1043466014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5862",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730835862",
            "telephone_number": "405-356-3035",
            "fax_number": "405-356-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W. 2ND ST.",
            "city": "WELLSTON",
            "state": "OK",
            "postal_code": "74881",
            "telephone_number": "405-356-2998",
            "fax_number": "405-356-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "SHERRY",
        "middle_name": "DIANN",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-11",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0080778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100492420B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammy Gore
• Dana Lea Green, MS, CCC-SLP
• Katherine R Dossey
• Mallory McConnell, M.S., CCC-SLP
• Sheila K Medlin
• Doris Chinyere Offiah, APRN
• Pharmacy @ Wellston
• Harlie Robinson
• Southwestern Lincoln County Fire Protection District
• Heather Starkey

• All providers in Wellston, OK
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.