Tanisha L Mitchell

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

115055 Issued in OK

Practice address

3209 S Broadway Ste 117
Edmond, OK 73013-4062

Phone

(405) 255-4393

NPI assigned

Mar 4, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1520121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520121600000",
    "number": "1578065710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 S BROADWAY STE 117",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730134062",
            "telephone_number": "405-255-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 S BROADWAY STE 117",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730134062",
            "telephone_number": "405-255-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "TANISHA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-04",
        "last_updated": "2018-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "OK",
            "license": "115055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiersten Mitchell
• Rhonda J Mitchell, BS
• Ryanne Mitchell, MA, LPC
• Saige Mitchell
• Shirley Mitchell
• Tye Mitchell
• Lindy Michelle Mixon, M.S.CCC-SLP
• Mariam Jada Mjigal
• MM Health Aprn-CNP PLLC
• Jeremy Brandon Moad, M.D

• Prosthetics Case Management in Edmond, OK
• Providers in Edmond, OK by specialty
• Prosthetics Case Management in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2018; 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.