Tara Mitchell, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2309 Issued in WV

Practice address

466 Courthouse Rd
Princeton, WV 24740-2422

Phone

(304) 913-3160

Fax

(855) 618-2212

NPI assigned

Dec 6, 2007

Last updated

Sep 22, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WV, VA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Lively Pediatrics, PLLC

  • Pediatrics Physician
  • Princeton, WV
  • NPI 1063006047
  Medicare reassignment NPD
• Alliance Xpress Care LLC

  dba Alliance Xpress Care

  • Urgent Care Clinic/Center
  • Covington, VA
  • NPI 1124415799

  Pediatrics

  Medicare reassignment NPD
• Princeton Pediatrics Lab

  • Legal Medicine
  • Princeton, WV
  • NPI 1528169695
  NPD (past)
• Professional Imaging, Inc.

  • Diagnostic Radiology Physician
  • Princeton, WV
  • NPI 1124073481
  NPD (past)

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1326221888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 COURTHOUSE RD",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402422",
            "telephone_number": "304-952-2087",
            "fax_number": "855-618-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 COURTHOUSE RD",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402422",
            "telephone_number": "304-913-3160",
            "fax_number": "855-618-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "TARA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-06",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "2309",
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "WV",
            "license": "WV2309",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles John Mirabile, M.D.
• Miracles of Life OB/GYN, PLLC
• David Ellman Miranda, DDS
• Michelle Mitchell
• Shayla Nicole Mitchell
• Tracy Jean Mitchell
• Gina Mitchem
• Lisa Mitchem
• Zoe Macrina Molineaux
• Selena Montagno

• Pediatrics Physician in Princeton, WV
• Providers in Princeton, WV by specialty
• Pediatrics Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.