Maylee Grace Miracle, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

34099 Issued in TN

Practice address

739 Bluff City Hwy Ste 3
Bristol, TN 37620-4637

Phone

(423) 534-9195

NPI assigned

May 17, 2023

Last updated

Mar 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Maylee G Haynes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clinical & Forensic Consultation, LLC

  dba Thriveworks

  • Professional Counselor
  • Thompsons Station, TN
  • NPI 1790106979
  NPD
• The Office of Daphane Miller, PLLC

  dba Tri-Cities Peace and Healing, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bristol, TN
  • NPI 1548965080
  NPD
• Tri-Cities Peace and Healing, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bristol, TN
  • NPI 1225843048
  NPD

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1275224594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 W OAKLAND AVE STE 202",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376041445",
            "telephone_number": "423-850-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 BLUFF CITY HWY STE 3",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376204637",
            "telephone_number": "423-534-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRACLE",
        "first_name": "MAYLEE",
        "middle_name": "GRACE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-17",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "0000245367",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024192489",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "34099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAYLEE",
            "last_name": "HAYNES",
            "middle_name": "G",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Midway Eyecare, PC
• Daphane Miller, PMHNP
• David B Miller, LCSW
• Denise Miller, MA
• Hannah Lee Miller, PA-C
• Thomas E Mitoraj, MD
• Victoria Kailand Moaf
• Nafees Ameer Mohammed, MBBS
• Samuel Edward Molind, DMD
• Kate L Molony, D.O.

• Psychiatric/Mental Health Nurse Practitioner in Bristol, TN
• Providers in Bristol, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.