Tia A Jones-Mitchell
Individual provider Active NPI Women's Health Nurse Practitioner · Troy, VA
NPI 1497262117 · NPPES record last updated Jun 16, 2018
Key facts
- NPI
- 1497262117
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Women's Health Nurse Practitioner 363LW0102X
- License
- 0024171429 (VA)
- Practice address
- PO Box 1000
Troy, VA 22974-1000 - Phone
- (434) 422-3700
- NPI assigned
- Jan 3, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260121003738 | TX | Order and Referring Only - Nurse Practitioner | 3678050606 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1213157 | TX | MD | Physical Therapist |
| 0024171429 | VA | MD | Women's Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 0024171429 | VA | Yes |
Addresses
Primary practice location
PO Box 1000
Troy, VA 22974-1000
Mailing address
5825 Hereld Green Dr
Chesterfield, VA 23832-4050
Other providers in Troy, VA
- Dawn Aimee Fisher
- Julia Hammond Green
- Kathi Taylor Hackenburg
- Dana Nichole Henry
- Erica Jackson
- Sinan Kamal
- Brian Kiernan
- Andrew Mikesh
- Laura Elizabeth Moyers
- Christina Henderson Paxson
All providers in Troy, VA · Women's Health Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.