Organization Active NPI

Mirakell L.L.C.

  • Driver
  • Baton Rouge, LA
National Provider Identifier
1003519273
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
Legal business name
MIRAKELL L.L.C.
Practice address
1445 Silverton Dr
Baton Rouge, LA 70815-5363
Phone
(225) 475-0009
NPI assigned
Mar 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mikiel Thomas
Title
Owner
Phone
(225) 475-0009

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DriverGroup: 193200000X MULTI-SPECIALTY GROUP 172A00000X Primary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X

Addresses

Primary practice location

1445 Silverton Dr
Baton Rouge, LA 70815-5363

Mailing address

1445 Silverton Dr
Baton Rouge, LA 70815-5363
Phone (225) 475-0009

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1003519273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 SILVERTON DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708155363",
            "telephone_number": "225-475-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 SILVERTON DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708155363",
            "telephone_number": "225-475-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAKELL L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MIKIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-475-0009"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.