Individual provider Active NPI

Tierra Mitchell

  • Reproductive Endocrinology/Infertility Registered Nurse
  • Memphis, TN
National Provider Identifier
1497619803
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology/Infertility Registered NurseTaxonomy code 163WR1000X
License
265772 Issued in TN
Practice address
80 Humphreys Center Dr Ste 307
Memphis, TN 38120-2363
Phone
(901) 240-3225
NPI assigned
Dec 10, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology/Infertility Registered Nurse 163WR1000X 265772 TN Primary

Addresses

Primary practice location

80 Humphreys Center Dr Ste 307
Memphis, TN 38120-2363

Mailing address

5466 Banbury Ave
Memphis, TN 38135-2814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
265772TNMDReproductive Endocrinology/Infertility Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1765324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1497619803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5466 BANBURY AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381352814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HUMPHREYS CENTER DR STE 307",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202363",
            "telephone_number": "901-240-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "TIERRA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-12-10",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Reproductive Endocrinology/Infertility",
            "state": "TN",
            "license": "265772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.