Mitzi Morris, HAIR LOSS SPECIALIST

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

105006 Issued in TN

Practice address

509 Elm St
Martin, TN 38237-3407

Phone

(270) 627-1247

NPI assigned

Apr 1, 2016

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

Practice roles

Locations

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.

• Mitzi Nikkole

  • Prosthetic/Orthotic Supplier
  • Martin, TN
  • NPI 1134795669
  NPD Authorized official
• Mitzi Nikkole

  • Case Management Agency
  • Martin, TN
  • NPI 1295351344
  NPD Authorized official

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1992168363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 HARRISON ST",
            "address_2": "PO BOX 13",
            "city": "HICKMAN",
            "state": "KY",
            "postal_code": "42050",
            "telephone_number": "270-627-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 ELM ST",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373407",
            "telephone_number": "270-627-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "MITZI",
        "credential": "HAIR LOSS SPECIALIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "TN",
            "license": "105006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moore Dental Office
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• Warren Gregory Moore, D.D.S.
• Joseph Michael Morel, CRNA
• Michelle Morgan, RN
• Mt. Pelia Emergency Physicians
• Ann Lucile Napier, NP
• Tracy Nassar, LPC/MHSP
• Linda A Nethery, PHYSICAL THERAPIST
• New Perspectives, LLC.

• Prosthetics Case Management in Martin, TN
• Providers in Martin, TN by specialty
• Prosthetics Case Management in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.