IndividualActive
Tanisha Mitchell
NPI 1578065710 · Prosthetics Case Management · Edmond, OK
Provider details
- NPI number
- 1578065710
- Entity type
- Individual
- Primary specialty
- Prosthetics Case ManagementOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 115055 (OK)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3209 S Broadway Ste 117
Edmond, OK 73013-4062
Phone: (405) 255-4393
Street-level locationGet directions
Mailing address
3209 S Broadway Ste 117
Edmond, OK 73013-4062
Registry dates
- Enumerated
- 2018-03-04
- Last updated
- 2018-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.