Individual provider Active NPI

Sheila Marie Barnett, RDH, DC

  • Chiropractor
  • Bullhead City, AZ
National Provider Identifier
1598753402
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8576 Issued in AZ
Practice address
2775 Miracle Mile Ste 1
Bullhead City, AZ 86442-3719
Phone
(928) 758-4101
NPI assigned
Oct 13, 2005
Last updated
Mar 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8576 AZ Primary
Chiropractor 111N00000X X009042 NY
Dental Hygienist 124Q00000X 018540 NY

Addresses

Primary practice location

2775 Miracle Mile Ste 1
Bullhead City, AZ 86442-3719

Mailing address

2775 Miracle Mile
Bullhead City, AZ 86442-3718
Phone (928) 758-4101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161101002245 AZ Practitioner - Chiropractic 8628962461 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2775 Miracle Mile
Suite 1
Bullhead City, AZ 86442-3719
Phone (928) 758-4101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8576AZMDChiropractor
X009042NYMDChiropractor
009042NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health Clinic of Chiropractic, LLC Chiropractor CurrentSince Mar 1, 2021 Accepting new patients
Polly's Chiropractic, P.C. Chiropractor CurrentSince Oct 3, 2016 Accepting new patients
Jamestown Spine, LLC Chiropractor PastSince Mar 10, 2019 Accepting new patients

Locations

2775 Miracle Mile
Ste 1
Bullhead City, AZ 86442
Phone (928) 758-4101

5810 S Highway 95
Ste 2
Fort Mohave, AZ 86426
Phone (928) 768-1122

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1598753402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 MIRACLE MILE",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864423718",
            "telephone_number": "928-758-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 MIRACLE MILE STE 1",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864423719",
            "telephone_number": "928-758-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNETT",
        "first_name": "SHEILA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "RDH, DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8576",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009042",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NY",
            "license": "018540",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.