Organization Active NPI

Tyneza Mitchell, P.a.

  • Family Nurse Practitioner
  • Spring, TX
National Provider Identifier
1578181202
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
TYNEZA MITCHELL, P.A.
Doing business as
Comprehensive Care Clinic
Practice address
7623 Louetta Rd Ste 104
Spring, TX 77379-7237
Phone
(281) 844-0779
NPI assigned
Jul 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Authorized official

Name
Tyneza Mitchell, FNPNPI 1417342908
Title
Owner
Phone
(281) 844-0779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

7623 Louetta Rd Ste 104
Spring, TX 77379-7237

Mailing address

7623 Louetta Rd Ste 104
Spring, TX 77379-7237

Other names 1

  • Comprehensive Care Clinic Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2209595Comprehensive Care Clinic7623 Louetta Road, Suite 104, Spring, TX 77379Certificate of waiverJan 13, 2027

National Provider Directory

National Provider Directory

Locations

7623 Louetta Rd
Ste 104
Spring, TX 77379
Phone (281) 844-0779

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21792/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594339200000",
    "number": "1578181202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7623 LOUETTA RD STE 104",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7623 LOUETTA RD STE 104",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797237",
            "telephone_number": "281-844-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYNEZA MITCHELL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "TYNEZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-844-0779",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.