Marissa Ann Mitchell, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

2019-3716 Issued in WV

Practice address

1991 Stadium Dr
Bluefield, WV 24701-3324

Phone

(304) 646-1333

Fax

(844) 587-9617

NPI assigned

Jan 31, 2020

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1609407279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 STADIUM DR",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247013324",
            "telephone_number": "304-646-1333",
            "fax_number": "844-587-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 STADIUM DR",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247013324",
            "telephone_number": "304-646-1333",
            "fax_number": "844-587-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MARISSA",
        "middle_name": "ANN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-31",
        "last_updated": "2023-11-27",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WV",
            "license": "2019-3716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "areignanctmb@live.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "SOAP",
            "address_1": "1991 Stadium Dr",
            "city": "Bluefield",
            "state": "WV",
            "country_code": "US",
            "postal_code": "247013324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mercer Nursing & Rehabilitation Center LLC
• Mercer SNF LLC (Mercer Rehabilitation and Healthcare Center)
• Annette Marie Merz
• Michael T. Hegstrom,MD, PLLC
• Leslie Mills
• Valerie Mitchell
• Leah Renee Mooney, FNP-C
• Kaydee M Moore, RN
• Gregory S Moorefield, BS
• Nora Lee Moretto

• Massage Therapist in Bluefield, WV
• Providers in Bluefield, WV by specialty
• Massage Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.