Jonathan Charles Mitchell, BHRS

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1625 W Garriott Rd
St F
Enid, OK 73703-5653

Phone

(580) 242-4673

Fax

(580) 242-4679

NPI assigned

Apr 8, 2013

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365379200000",
    "number": "1467895615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112",
            "city": "COVINGTON",
            "state": "OK",
            "postal_code": "737300112",
            "telephone_number": "580-747-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 W GARRIOTT RD",
            "address_2": "ST F",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737035653",
            "telephone_number": "580-242-4673",
            "fax_number": "580-242-4679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JONATHAN",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "BHRS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-08",
        "last_updated": "2013-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200081240",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Joanna Corlett Moats, BHRS
• Mobile Imaging Solutions Inc

• Social Worker in Enid, OK
• Providers in Enid, OK by specialty
• Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; 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.