Michaela Mitchell

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

7724 Issued in TN

Practice address

5366 Winchester Rd
Memphis, TN 38115-4565

Phone

(901) 550-5253

NPI assigned

Mar 17, 2020

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

State licenses

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1871129361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 AUTUMNDALE DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380168599",
            "telephone_number": "901-550-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5366 WINCHESTER RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381154565",
            "telephone_number": "901-550-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MICHAELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "TN",
            "license": "7724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Mitchell, MA, CCC-SLP
• Mark Mitchell, MD
• Mary Anne Mitchell
• Mary Chantay Mitchell, FNP-C
• Michael Francis Mitchell Jr., PA-C
• Mychell Mitchell, LPC
• Rachel Mitchell, CRNA
• Rachel Hicks Mitchell
• Shermita Nikia Mitchell, OD
• Tierra Mitchell

• Dental Hygienist in Memphis, TN
• Providers in Memphis, TN by specialty
• Dental Hygienist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.