Active NPI
Jana Mitchell, OTR
- Occupational Therapist
- Lovington, NM
National Provider Identifier
1992844302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT3757
- Practice address
- 1600 N Main Ave
Lovington, NM 88260-2813 - Phone
- (575) 396-6611
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT3757 | NM | Primary |
| Occupational Therapist | 225X00000X | 109992 | TX |
Addresses
Primary practice location
1600 N Main Ave
Lovington, NM 88260-2813
Mailing address
6858 Reed Rd
Lovington, NM 88260-8584
Phone (806) 683-5022
Other practice location 1
310 Continental Drive
Jal, NM 88252
Phone (575) 395-3400
Other practice location 2
306 West 3rd Street
Tatum, NM 88267
Phone (575) 398-4455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
805 W Kansas
Jal, NM 88252-2525
Phone 5753953400220
PO Box Z
Jal, NM 88252-2525
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT3757 | NM | MD | Occupational Therapist |
| 109992 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jal Hospital District | Current | Accepting new patients | |
| Jal Hospital District | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Jal, NM
- NPI 1558583005
-
- General Practice Dentistry
- Jal, NM
- NPI 1982890737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1992844302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6858 REED RD",
"city": "LOVINGTON",
"state": "NM",
"postal_code": "882608584",
"telephone_number": "806-683-5022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 N MAIN AVE",
"city": "LOVINGTON",
"state": "NM",
"postal_code": "882602813",
"telephone_number": "575-396-6611"
}
],
"practiceLocations": [
{
"address_1": "310 CONTINENTAL DRIVE",
"address_purpose": "LOCATION",
"city": "JAL",
"state": "NM",
"postal_code": "88252",
"country_code": "US",
"telephone_number": "575-395-3400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "306 West 3rd Street",
"address_purpose": "LOCATION",
"city": "TATUM",
"state": "NM",
"postal_code": "88267",
"country_code": "US",
"telephone_number": "575-398-4455",
"fax_number": "575-398-8220",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITCHELL",
"first_name": "JANA",
"name_prefix": "Miss",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "OT3757",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "109992",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lovington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.