Shanell Mitchell, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT000393 Issued in GA

Practice address

5157 Jimmy Lee Smith Pkwy
Suite 209
Hiram, GA 30141-2785

Phone

(678) 567-5220

NPI assigned

Jun 7, 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

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": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1750584751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 NATHAN DEAN BLVD",
            "address_2": "SUITE 105-313",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301324911",
            "telephone_number": "678-567-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5157 JIMMY LEE SMITH PKWY",
            "address_2": "SUITE 209",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301412785",
            "telephone_number": "678-567-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "SHANELL",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT000393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanchad C Memark, M.D.
• Obger Mercier, GM
• Camarisk Merriweather, CNA
• Christine Min, MD
• Monica Mitchell, RN
• Tameka Mitchell
• Elisabeth Grace Moon
• Henry Moreno, DDS
• Carlos E Morgan, DPT
• Pamela Darlene Morris, LMFT

• Massage Therapist in Hiram, GA
• Providers in Hiram, GA by specialty
• Massage Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.