Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tracie Mitchell

Individual provider Registered Dietitian · NPI 1053005132

Tracie Mitchell is a Registered Dietitian in Neosho, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2023

Practice location Address checks out

9920 Queens Lace Dr
Neosho, MO 64850-8389
Phone: (417) 499-2751
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 2001004731 (MO)

Record details

NPI number1053005132
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 2, 2023
Last updated in NPPESJune 2, 2023
Certification dateJune 2, 2023
Mailing address9920 Queens Lace Dr, Neosho, MO 64850-8389

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