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Terrence Randell Mitchell , HAIR LOSS SPECIALIST

Prosthetist β€’ Malvern, AR

Active NPI 1659907707 Individual Practitioner Male Practitioner
Practice location in NPPES

1004 Dyer St
Malvern, AR 721045255

Call 5017326041 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1004 Dyer St

Malvern, AR 721045255

Telephone 5017326041
Organization at the Same NPPES Address or Phone
Xtend My Hair Salon & Co Llc Facility NPI 1093322687

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Malvern and Arkansas

1 active clinicians are listed under Prosthetist with a practice address in Malvern, AR (23 in Arkansas).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-04-25
Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

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.

Durable Medical Equipment & Medical Supplies

NUCC Taxonomy Code: 332B00000X

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Prosthetic/Orthotic Supplier

NUCC Taxonomy Code: 335E00000X

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arkansas State Medical Licensing Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location April 25, 2022

Registered at 1004 DYER ST, MALVERN, AR 721045255 (Tel: 5017326041)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2022

Durable Medical Equipment & Medical Supplies

βœ…
NPI Profile Active March 20, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 20, 2020

Registered at 991 MOUNT WILLOW RD., MALVERN, AR 72104 (Tel: 5017326041)

πŸ“
Business Mailing Address (Initial Record) March 20, 2020

Registered at 327 WOODLAND ST., MALVERN, AR 72104 (Tel: 5017326041)

πŸ‘€
Provider Name / Credentials (Initial Record) March 20, 2020

Recorded as TERRENCE MITCHELL, HAIR LOSS SPECIALIST

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2020

Prosthetist

🟒
Initial NPI Registration & Enumeration March 20, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1659907707
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2020
Last Update: April 25, 2022
Sole Proprietor: Yes

Mailing Address

327 Woodland St.

Malvern, AR 72104

Phone: 5017326041

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.