Active NPI
Kyra Mirante, LMBT
- Massage Therapist
- Durham, NC
National Provider Identifier
1285305854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 19786
- Practice address
- 716 15TH St
Durham, NC 27705-3902 - Phone
- (919) 294-6723
- NPI assigned
- Sep 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 19786 | NC | Primary |
Addresses
Primary practice location
716 15TH St
Durham, NC 27705-3902
Mailing address
114 Gresham Ave
Durham, NC 27704-4208
Phone (206) 499-0803
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19786 | Other | NC | MASSAGE AND BODYWORK LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19786 | NC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632355200000",
"number": "1285305854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 GRESHAM AVE",
"city": "DURHAM",
"state": "NC",
"postal_code": "277044208",
"telephone_number": "206-499-0803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 15TH ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277053902",
"telephone_number": "919-294-6723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANTE",
"first_name": "KYRA",
"credential": "LMBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-23",
"last_updated": "2021-09-23",
"certification_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "19786",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE AND BODYWORK LICENSE",
"identifier": "19786",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.