Tiffany Chantel Mitchell

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

11100 Limerick Dr
Jacksonville, FL 32221-4118

Phone

(904) 708-1718

NPI assigned

May 1, 2018

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mitchell Mastered Services

  • In Home Supportive Care Agency
  • Jacksonville, FL
  • NPI 1699398289
  NPD Authorized official

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1841788239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 LIMERICK DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322214118",
            "telephone_number": "904-708-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 LIMERICK DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322214118",
            "telephone_number": "904-708-1718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4427 Emerson St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322074960",
            "country_code": "US",
            "telephone_number": "904-398-7015 x13460",
            "fax_number": "904-346-8037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "TIFFANY",
        "middle_name": "CHANTEL",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Mitchell, BS
• Steven Wayne Mitchell, MA
• Tammy Michelle Mitchell
• Ted David Mitchell Sr.
• Terrlyn D Mitchell
• Todd Mitchell
• Joslyn Amelia Mitchem, LPTA
• Ghada Mitri, MD
• Ghaith Mitri, M.D.
• Brittany Nicole Mitrick

• Home Health Aide in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Home Health Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; 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.