Active NPI
Betty L. Mitchell, D.C.
- Chiropractor
- Sheridan, WY
National Provider Identifier
1669646022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 563
- Practice address
- 214 W Loucks St
Sheridan, WY 82801-4209 - Phone
- (307) 674-9593
- NPI assigned
- Apr 16, 2008
- Last updated
- Feb 15, 2019
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 563 | WY | Primary |
Addresses
Primary practice location
214 W Loucks St
Sheridan, WY 82801-4209
Mailing address
214 W Loucks St
Sheridan, WY 82801-4209
Phone (307) 674-9593
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1994
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
214 W Loucks St
Sheridan, WY 82801-4209
Phone (307) 674-9593
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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": "1208304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550188800000",
"number": "1669646022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 W LOUCKS ST",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828014209",
"telephone_number": "307-674-9593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 W LOUCKS ST",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828014209",
"telephone_number": "307-674-9593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "BETTY",
"middle_name": "L.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-16",
"last_updated": "2019-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WY",
"license": "563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sheridan, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.