Mary Chantay Mitchell, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

28299 Issued in TN

Practice address

3342 Caribou Dr
Memphis, TN 38115-3006

Phone

(901) 289-3611

NPI assigned

Oct 26, 2020

Last updated

Jan 25, 2021By the provider in NPPES

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

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Matter Health of Tennessee, PLLCGroup PAC ID 7315343407, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22414/brand/2/csg/41/fhir/r4
• Direct secure messaging: mamitchell@landmarkhealth-direct.org
• Direct secure messaging: mary.mitchell.1@22414.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Matter Health of Tennessee, PLLC

  • Family Medicine Physician
  • Old Hickory, TN
  • NPI 1467030908
  Medicare reassignment Care Compare group NPD
• Abode Care Partners Al VB, LLC

  • Nurse Practitioner
  • Mountain City, TN
  • NPI 1518736834
  Medicare reassignment NPD
• Abode Care Partners LTC VB, LLC

  • Nurse Practitioner
  • Mountain City, TN
  • NPI 1972372225
  Medicare reassignment NPD
• Landmark Medical of Tennessee PC

  • General Practice Physician
  • Brentwood, TN
  • NPI 1396498143
  Medicare reassignment NPD
• Segue Health Partners LLC

  • Family Medicine Physician
  • Cordova, TN
  • NPI 1073040556
  Medicare reassignment NPD
• SHC Medical Partners of Tennessee, LLC

  • Nurse Practitioner
  • Mountain City, TN
  • NPI 1609051895
  Medicare reassignment NPD
• Abode Care Partners Al VB, LLC

  • Nurse Practitioner
  • Texarkana, TX
  • NPI 1528871126
  NPD
• Abode Care Partners LTC VB, LLC

  • Nurse Practitioner
  • Ridgeland, MS
  • NPI 1992518591
  NPD
• Landmark Medical of Tennessee PC

  • General Practice Physician
  • Westbrook, ME
  • NPI 1982310439
  NPD

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1174123632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3342 CARIBOU DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381153006",
            "telephone_number": "901-289-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3342 CARIBOU DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381153006",
            "telephone_number": "901-289-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MARY",
        "middle_name": "CHANTAY",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "28299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kadean Alicia Mitchell
• Mallory Anne Mitchell, M.D.
• Margaret Mitchell, MA, CCC-SLP
• Mark Mitchell, MD
• Mary Anne Mitchell
• Michael Francis Mitchell Jr., PA-C
• Michaela Mitchell
• Mychell Mitchell, LPC
• Rachel Mitchell, CRNA
• Rachel Hicks Mitchell

• Family Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.