Individual provider Active NPI

Abigail Mitchell, DC

  • Chiropractor
  • Fort Worth, TX
National Provider Identifier
1083485908
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15532 Issued in TX
Practice address
7315 S Hulen St
Fort Worth, TX 76133-6616
Phone
(817) 346-0453
NPI assigned
Jan 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15532 TX Primary

Addresses

Primary practice location

7315 S Hulen St
Fort Worth, TX 76133-6616

Mailing address

7315 S Hulen St
Fort Worth, TX 76133-6616
Phone (817) 346-0453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240424002303 TX Practitioner - Chiropractic 9335589332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Spine and Wellness PLLCGroup PAC ID 2163860164, 2 clinicians

Practice addresses (Care Compare)

7315 S Hulen St
Fort Worth, TX 76133-6616
Phone (707) 630-1577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hulen Chiropractic Clinic PLLC Chiropractor CurrentSince Jan 14, 2024 Accepting new patients
Prime Spine and Wellness PLLC Chiropractor CurrentSince Apr 1, 2024 Accepting new patients

Locations

7315 S Hulen St
Fort Worth, TX 76133
Phone (707) 630-1577

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1083485908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7315 S HULEN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761336616",
            "telephone_number": "817-346-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7315 S HULEN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761336616",
            "telephone_number": "817-346-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ABIGAIL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.