Individual provider Active NPI

Jana Mitchell, OTR

  • Occupational Therapist
  • Lovington, NM
National Provider Identifier
1992844302
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT3757 Issued in NM
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

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20241018001899 NM Practitioner - Occupational Therapist in Private Practice 9931631694 Reassigns benefits to 1 organization

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
Jal Hospital DistrictGroup PAC ID 8729264478, 8 clinicians

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

LicenseStateTypeSpecialty
OT3757NMMDOccupational Therapist
109992TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jal Hospital District CurrentSince Sep 1, 2024 Accepting new patients
Jal Hospital District PastSince Dec 17, 2023 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.

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.

Verify at the official NPI Registry.