TERRENCE RANDELL MITCHELL (NPI# 1659907707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659907707 |
Entity Type | Individual |
Full Name | TERRENCE RANDELL MITCHELL |
Credential | HAIR LOSS SPECIALIST |
Practice Address |
991 Mount Willow Rd. Malvern AR 72104 |
Mailing Address |
327 Woodland St. Malvern AR 72104 |
Practice Telephone | 5017326041 |
Mailing Telephone | 5017326041 |
Enumeration Date | 2020-03-20 |
Last Update Date | 2020-03-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
991 MOUNT WILLOW RD. |
City | MALVERN |
State | AR |
Zip Code | 72104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356837959 | American Oncology Partners, P.a. | Internal Medicine | 1001 Schneider Dr Ste 105, Malvern, AR 72104 | 2018-07-06 |
1114262839 | Charloda Nolen | Case Manager/Care Coordinator | 1710 E Page, Malvern, AR 72104 | 2012-12-06 |
1427349257 | Malvern Physical Therapy and Wellness | Physical Therapist | 1601 Hwy 270 W, Suite 104, Malvern, AR 72104 | 2011-04-27 |
1194037069 | Alternative Opportunities | Community/Behavioral Health | 1519 East Page Avenue, Malvern, AR 72104 | 2010-07-08 |
1285878991 | Pro-active Rehab Inc. | Physical Therapist | 720 Walco Rd, Suite 240, Malvern, AR 72104 | 2009-04-24 |
1932380599 | Vallerie Ahart | Licensed Practical Nurse | 1022 East Page, Malvern, AR 72104 | 2007-11-23 |
1104013598 | Vivian Brown | Home Health Aide | 913 Magnolia, Malvern, AR 72104 | 2007-09-28 |
1467665919 | Annette Jean Bowersox | Registered Nurse | 1399 Jenny Road, Malvern, AK 72104 | 2007-05-08 |
1730305798 | Jacqueline Kilgore LLC | Skilled Nursing Facility | 912 Section Line St, Malvern, AR 72104 | 2007-04-18 |
1972727287 | The Crossing At Malvern | Assisted Living Facility | 720 North Walco Road, Malvern, AR 72104 | 2007-04-11 |
Find all providers in zip 72104 |
Taxonomy Code | 224P00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Prosthetist |
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750899134 | Tiffany Rene Smith | Prosthetist | 469 J E Clark Cv, Marion, AR 72364-2308 | 2018-01-18 |
1841301843 | Paul Edgar Johnston | Prosthetist | 119 W Carpenter St, Benton, AR 72015-3317 | 2006-08-31 |
1811993538 | Havis Kent Rinehart | Prosthetist | 2425 W 28th Ave, Pine Bluff, AR 71603-5051 | 2005-06-27 |
1235668575 | Michael Lee Kenney | Prosthetist | 120 Hill St, Hot Springs, AR 71901-6238 | 2017-06-09 |
1881717767 | David Jonathan Durham | Prosthetist | 2221 E Race Ave, Searcy, AR 72143-4727 | 2007-04-07 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.