MEDICARE: TIERRA TENAY MITCHELL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1912716655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIERRA TENAY MITCHELL

Provider Business Mailing Address
First Line	:	3929 WEET PINE ST
Second Line	:	UNIT 103
City	:	LAS VEGAS
State	:	NV
Zip	:	89108
Country	:	US
Telephone Number	:	661-247-7897
Fax Number	:

Provider Business Practice Location Address
First Line	:	3929 SWEET PINE ST UNIT 103
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-8143
Country	:	US
Telephone Number	:	661-247-7897
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2025
Last Update Date	:	01/07/2025

Similar Medicare Providers

1972071330 — DMARIO RANDY TRAVELL COLEMAN
Practice Location Address:

3786 IDLEWOOD AVE
LAS VEGAS, NV
89115-8143

Practice Phone: 702-635-7987
Practice Fax:

1689312605 — KASSANDRA GALILEA HERNANDEZ
Practice Location Address:

3746 IDLEWOOD AVE
LAS VEGAS, NV
89115-8143

Practice Phone: 702-355-7325
Practice Fax:

1053663450 — TERRANCE ALFONSO WILLIAMS JR.
Practice Location Address:

5317 REDBERRY ST
LAS VEGAS, NV
89108-4019

Practice Phone: 702-371-7970
Practice Fax:

1407710940 — KRISTIE LYNN RUESCH BCBA
Practice Location Address:

2490 MAVERICK ST
LAS VEGAS, NV
89108-3824

Practice Phone: 702-799-1883
Practice Fax: 702-799-1884

1790785590 — MARQUIS COMPANIES I, INC
Practice Location Address:

6021 W CHEYENNE AVE
LAS VEGAS, NV
89108-4205

Practice Phone: 702-658-9494
Practice Fax: 702-658-9419

1881686855 — LB REGENCY PLAZA LLC
Practice Location Address:

6031 W CHEYENNE AVE
LAS VEGAS, NV
89108-4200

Practice Phone: 702-658-5882
Practice Fax: 702-658-5842

Directions to “ TIERRA TENAY MITCHELL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.