Shirley Jean Mizell, RN, HEALTH EDUCATOR

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

1902 Hackberry LN
Tuscaloosa, AL 35401-4922

Phone

(833) 855-5777

NPI assigned

May 9, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24451/brand/1/csg/1/fhir/r4

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.

• A Pattern Medical Clinic

  • Multi-Specialty Clinic/Center
  • Ooltewah, TN
  • NPI 1184102881

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1154987691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 ORCHARD MILL RD",
            "city": "COTTONDALE",
            "state": "AL",
            "postal_code": "354531457",
            "telephone_number": "205-799-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 HACKBERRY LN",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354014922",
            "telephone_number": "833-855-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZELL",
        "first_name": "SHIRLEY",
        "middle_name": "JEAN",
        "credential": "RN, HEALTH EDUCATOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN, HEALTH EDUCATOR",
            "identifier": "174H00000X",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Judith Mitchell, LMSW
• Clayton Miller Mitchell, DC
• Lisbeth C Mitchell, LCSW
• Caleb A Mixon
• Susana Mixson, PHARM.D.
• Ally Pritchett Mizerany
• MJM GTT Spa LLC
• Modern Day Living Cerified Residential Facility
• Stacey Epperson Moffitt, PA
• Shuaib Mohamed, M.D.

• Health Educator in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Health Educator in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.