Wynn A Mitchell

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

24 Hubbard St
Mount Clemens, MI 48043

Phone

(810) 357-2689

NPI assigned

Aug 18, 2018

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

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": "1534550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534550400000",
    "number": "1730669706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HUBBARD ST",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480435517",
            "telephone_number": "810-357-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HUBBARD ST",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "48043",
            "telephone_number": "810-357-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "WYNN",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-18",
        "last_updated": "2018-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miramonti Chiropractic, PLLC
• Frank C. Miramonti, D.C, C.C.S.P.
• Kyle Missant, D.M.D
• Anita Renise Mitchell, BA., SST
• Dorian Lando Mitchell
• Sara Nicole Moceri I, LPC
• Jay Mohan, DO
• Katie Lynn Monicatti, RN
• Shirley Ann Monk, LMSW
• Donyelle Moore-Baldwin, MD

• Case Manager/Care Coordinator in Mount Clemens, MI
• Providers in Mount Clemens, MI by specialty
• Case Manager/Care Coordinator in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2018; 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.