Tina Mitchell

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2003029512 Issued in MO

Practice address

6700 Antioch Rd
Merriam, KS 66204-1497

Phone

(816) 914-4092

NPI assigned

May 26, 2014

Last updated

May 26, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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": "1401062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401062400000",
    "number": "1619389632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 ANTIOCH RD",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662041497",
            "telephone_number": "816-914-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 ANTIOCH RD",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662041497",
            "telephone_number": "816-914-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "TINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-26",
        "last_updated": "2014-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2003029512",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "3192",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Margaret Miller, DPT
• Shelby Miller, MS, RD, LD
• Jeffrey William Mincher, M.D.
• Allison Marie Minyakov, AGACNP
• Marena Mitchell, M.S., CCC-SLP
• Rachel M Mitchelson, CRNA
• Bailey Mixon, PT
• Brande Molina, OTR/L
• Heather Monrad
• Andrew Montalbano, MD

• Speech-Language Pathologist in Merriam, KS
• Providers in Merriam, KS by specialty
• Speech-Language Pathologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2014; 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.