Shannen Marcie Mitchell, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

80378 Issued in TX

Practice address

3937 Boat Club Rd
Lake Worth, TX 76135-3202

Phone

(817) 238-9737

Fax

(817) 238-9963

NPI assigned

Nov 2, 2009

Last updated

Aug 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1053647651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S HENDERSON ST",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761041017",
            "telephone_number": "817-335-2583",
            "fax_number": "817-335-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3937 BOAT CLUB RD",
            "city": "LAKE WORTH",
            "state": "TX",
            "postal_code": "761353202",
            "telephone_number": "817-238-9737",
            "fax_number": "817-238-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "SHANNEN",
        "middle_name": "MARCIE",
        "name_prefix": "Ms.",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-02",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "TX",
            "license": "80378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Mittelbronn, MD MPH (Lakeview Dermatology)
• Michelle McGhee, RN
• Michael D. Conte PC (Lake Worth Vision Source)
• Corbin David Milenbaugh, DDS
• Mint Dentistry, PLLC (Lake Worth Mint Dentistry)
• Andrea Mutschler
• National Hearing Centers (Amplifon Hearing Aid Centers)
• National Vision, Inc. (America's Best Contacts & Eyeglasses)
• Network Provider Associates, P.C.
• Jennifer Nguyen, DO

• Hearing Instrument Specialist in Lake Worth, TX
• Providers in Lake Worth, TX by specialty
• Hearing Instrument Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.