Active NPI
Patricia Joan Mitchell, L.AC
- Acupuncturist
- Shelburne, VT
National Provider Identifier
1194275255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 091.0089378
- Practice address
- 479 Beaver Creek Rd
Shelburne, VT 05482-6952 - Phone
- (802) 264-9065
- NPI assigned
- Oct 12, 2016
- Last updated
- Oct 12, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 091.0089378 | VT | Primary |
Addresses
Primary practice location
479 Beaver Creek Rd
Shelburne, VT 05482-6952
Mailing address
479 Beaver Creek Rd
Shelburne, VT 05482-6952
Phone (802) 264-9065
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 091.0089378 | VT | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476230400000",
"number": "1194275255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "479 BEAVER CREEK RD",
"city": "SHELBURNE",
"state": "VT",
"postal_code": "054826952",
"telephone_number": "802-264-9065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "479 BEAVER CREEK RD",
"city": "SHELBURNE",
"state": "VT",
"postal_code": "054826952",
"telephone_number": "802-264-9065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "PATRICIA",
"middle_name": "JOAN",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-12",
"last_updated": "2016-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "VT",
"license": "091.0089378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelburne, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.