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DEITRA T MIXER
NPI 1053635755
Specialist in Cane Ridge, TN

Active since March 24, 2010
8221 LENOX CREEKSIDE DR UNIT 7, CANE RIDGE, TN 37013(615) 417-3321 Get Directions Write a Review

NPPES record last updated: March 24, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deitra T Mixer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEITRA T MIXER (NPI 1053635755) is an individual specialist in Cane Ridge, Tennessee and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1053635755
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDEITRA T MIXER
Location Address8221 LENOX CREEKSIDE DR UNIT 7Cane Ridge, TN 37013-4657
Mailing Address8221 Lenox Creekside Dr, Unit 7Cane Ridge, TN 37013-4656 · (615) 417-3321
Phone(615) 417-3321
Sole ProprietorYes
Enumeration DateMarch 24, 2010
✔ NPI 1053635755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
8221 LENOX CREEKSIDE DR UNIT 7, Cane Ridge, TN 37013
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deitra Mixer's NPI number?

The NPI number for Deitra Mixer is 1053635755. It was assigned to this individual provider in the NPPES registry on March 24, 2010.

Where is Deitra Mixer located?

Deitra Mixer practices at 8221 Lenox Creekside Dr Unit 7, Cane Ridge, TN 37013. The listed phone number is (615) 417-3321.

What is Deitra Mixer's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Deitra Mixer was last updated on March 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.