Ferrell Lynn Mitchusson, PERFUSIONIST

Primary specialty

ContractorTaxonomy code 171W00000X

License

023 Issued in OK

Practice address

13174 Country LN
Oklahoma City, OK 73165-8213

Phone

(405) 794-2893

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Ferrell Lynn Mitchusson Professional name

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699807701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13174 COUNTRY LN",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731658213",
            "telephone_number": "405-794-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13174 COUNTRY LN",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731658213",
            "telephone_number": "405-794-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHUSSON",
        "first_name": "FERRELL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PERFUSIONIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "OK",
            "license": "023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FERRELL",
            "last_name": "MITCHUSSON",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "credential": "L.P.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Terrance Mitchell
• Terri L Mitchell
• Tiamber Mitchell
• Travis Mitchell, PHD
• Zachary Stone Mitchell
• Shubhada Mithilesh, M.D.
• Laxmi Alekhya Mitta, MD
• Amanda Rae Mitten, LPC
• Cara Lisa Mitton, M.S.
• Tanner Mitton, MD

• Contractor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Contractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.