Nicole Louise Mitchell, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X011695-1 Issued in NY

Practice address

5631 W Genesee St
Camillus, NY 13031-1324

Phone

(518) 651-6191

NPI assigned

Sep 26, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240790400000",
    "number": "1154571198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5631 W GENESEE ST",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130311324",
            "telephone_number": "518-651-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5631 W GENESEE ST",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130311324",
            "telephone_number": "518-651-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "NICOLE",
        "middle_name": "LOUISE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-26",
        "last_updated": "2009-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011695-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haleigh Michaud, DPT
• Cherie L Milazzo
• Alice Miller, MD
• Michael Miller, PT, DPT, ATC
• Debra A Mirabito, NP
• Angela Monico, CASAC
• Kerry Morse, LPN
• Shauna Marie Mulpagano, L.P.N.
• Teurai Mutanga, PT
• Judith A Nelli, NP-C

• Chiropractor in Camillus, NY
• Providers in Camillus, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.