Mitchell P Shea, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC000822 Issued in TN

Practice address

750 E Spring St
Suite D
Cookeville, TN 38501-4527

Phone

(931) 526-4084

Fax

(931) 526-6801

NPI assigned

Oct 6, 2006

Sex

Male

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 7

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Chiro2Med of Tennessee

  • Internal Medicine Physician
  • Cookeville, TN
  • NPI 1295107613
  Medicare reassignment NPD Authorized official
• Shea Chiropractic PC

  • Chiropractor
  • Cookeville, TN
  • NPI 1295998797
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1083701510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E SPRING ST",
            "address_2": "SUITE D",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014527",
            "telephone_number": "931-526-4084",
            "fax_number": "931-526-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E SPRING ST",
            "address_2": "SUITE D",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014527",
            "telephone_number": "931-526-4084",
            "fax_number": "931-526-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "MITCHELL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC000822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "8037830",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0171110",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "641634",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "440236",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "350043697",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3676558",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005106212",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophia Maryann Shamburger, RBT
• Pardeep K Sharma, MD
• Macy Shaver
• Amanda Shaw, LMFT
• Shea Chiropractic PC
• Chase Shelton, DPT
• Jonathan Daniel Shepard
• Garrett Clark Shepherd, O.D.
• Elizabeth Ann Sherfy, RN
• Kirsten Shew

• Chiropractor in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; 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.