NPIMap

Organization Active NPI

Kirk Mitchell MD PA

  • Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1194522730
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
KIRK MITCHELL MD PA
Practice address
1810 8TH Ave Ste A101
Fort Worth, TX 76110-1352
Phone
(877) 969-6863
NPI assigned
Mar 1, 2025
Last updated
Oct 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Authorized official

Name
Traci Piersanti
Title
Director of Operations
Phone
(877) 969-6863

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

1810 8TH Ave Ste A101
Fort Worth, TX 76110-1352

Mailing address

1810 8TH Ave Ste A101
Fort Worth, TX 76110-1352
Phone (877) 969-6863

National Provider Directory

National Provider Directory

Locations

1810 8th Ave
#A101
Fort Worth, TX 76110

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1740787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1194522730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 8TH AVE STE A101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101352",
            "telephone_number": "877-969-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 8TH AVE STE A101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101352",
            "telephone_number": "877-969-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRK MITCHELL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-01",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "PIERSANTI",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "877-969-6863"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.