Connie Ann Mixon

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

990 Chestnut St
Vidor, TX 77662-4418

Phone

(281) 312-9651

NPI assigned

Jun 30, 2015

Last updated

Dec 4, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Mrs. Connie Ann Byrd Former name

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": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480809600000",
    "number": "1689057465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 CHESTNUT ST",
            "city": "VIDOR",
            "state": "TX",
            "postal_code": "776624418",
            "telephone_number": "281-312-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 CHESTNUT ST",
            "city": "VIDOR",
            "state": "TX",
            "postal_code": "776624418",
            "telephone_number": "281-312-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIXON",
        "first_name": "CONNIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2016-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONNIE",
            "last_name": "BYRD",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shelly Maines, PT
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• Merilyn Howton Marriott (Howton Family Counseling Services)
• Michael K Crossley, M D P a (Heart of Texas Family Medicine)
• Minor Home Healthcare & Housekeeping Associates
• Nirvana Nashed, PHARMD
• Gwendoline Nyajro
• Oakbend Medical Center (Oakwood Manor Nursing Home)
• Oakwood Health Care Center LTD. Co (Oakwood Manor Nursing Home)
• Sei C Oh, M.D.

• Personal Care Attendant in Vidor, TX
• Providers in Vidor, TX by specialty
• Personal Care Attendant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.

Verify at the official NPI Registry.