Becky H Mitchell, CNM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

060909 Issued in MO

Practice address

530 S Maiden LN
Joplin, MO 64801-3084

Phone

(417) 782-6200

Fax

(417) 782-6210

NPI assigned

Jun 28, 2006

Last updated

Mar 6, 2012By 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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1730116245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 DONIPHAN DR",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648509120",
            "telephone_number": "417-451-9450",
            "fax_number": "417-451-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 S MAIDEN LN",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648013084",
            "telephone_number": "417-782-6200",
            "fax_number": "417-782-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "BECKY",
        "middle_name": "H",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "MO",
            "license": "060909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "149407",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258268606",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100255170A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100183940A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Missouri Pain Care Group LLC
• Missouri Southern State University
• Missouri Southern State University (Missouri Southern State University Sports Medicine)
• Missouri Southern State University Health Center
• Audrey Camille Mitchell
• Geoffrey Colin Mitchell, DMD
• Jennifer Ann Mitchell, D.O.
• Sally Ann Mitchell, CAA
• Jordan D. Mize, MS, RDN
• Moc Joplin, PLLC (Joplin Children's Dentistry)

• Midwife in Joplin, MO
• Providers in Joplin, MO by specialty
• Midwife in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.