MITZI NIKKOLE
NPI 1134795669
Prosthetic/Orthotic Supplier in Martin, TN

Active since June 03, 2021

NPPES record last updated: June 3, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mitzi Nikkole NPPES

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

MITZI NIKKOLE (NPI 1134795669) is a healthcare organization registered as a prosthetic/orthotic supplier in Martin, Tennessee and active in the NPI registry since June 2021. The organization lists Mitzi Morris, Owner, as its authorized official.

NPPES Registry Identity

NPI1134795669
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameMITZI NIKKOLE
Location Address509 ELM STMartin, TN 38237-3407
Mailing AddressPo Box 13Hickman, KY 42050-0013 · (270) 627-1247
Organization SubpartNo
Authorized OfficialMitzi MorrisOwner · (270) 627-1247
Enumeration DateJune 3, 2021
NPPES CertifiedJune 3, 2021
NPI 1134795669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
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.
509 ELM ST, Martin, TN 38237

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Management
509 ELM ST
MARTIN, TN 38237
Specialist (Prosthetics Case Management)
509 ELM ST
MARTIN, TN 38237

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 Mitzi Nikkole's NPI number?

The NPI number for Mitzi Nikkole is 1134795669. It was assigned to this organization in the NPPES registry on June 3, 2021.

Where is Mitzi Nikkole located?

Mitzi Nikkole is located at 509 Elm St, Martin, TN 38237. The listed phone number is (270) 627-1247.

What is Mitzi Nikkole's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Mitzi Nikkole was last updated on June 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.