Active NPI
Miracle Minerals & Massage
- Nurse Massage Therapist (NMT)
- Baltimore, MD
National Provider Identifier
1336750124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Massage Therapist (NMT)
- Legal business name
- MIRACLE MINERALS & MASSAGE
- Doing business as
- M3 Squared
- Practice address
- 111 S Gilmor St
Baltimore, MD 21223-2498 - Phone
- (443) 435-1871
- NPI assigned
- Aug 14, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Ayanna Femi Ferebee, LICENSED NURSE
- Title
- Owner
- Phone
- (443) 435-1871
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Massage Therapist (NMT) | 163WM1400X | Primary |
Addresses
Primary practice location
111 S Gilmor St
Baltimore, MD 21223-2498
Mailing address
111 S Gilmor St
Baltimore, MD 21223-2498
Phone (443) 435-1871
Other names 1
- M3 Squared
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Massage Therapist (NMT)
- Baltimore, MD
- NPI 1043821226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597363200000",
"number": "1336750124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 S GILMOR ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212232498",
"telephone_number": "443-435-1871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S GILMOR ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212232498",
"telephone_number": "443-435-1871"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIRACLE MINERALS & MASSAGE",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-14",
"last_updated": "2020-08-14",
"certification_date": "2020-08-14",
"status": "A",
"authorized_official_last_name": "FEREBEE",
"authorized_official_first_name": "AYANNA",
"authorized_official_middle_name": "FEMI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "443-435-1871",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "LICENSED NURSE"
},
"taxonomies": [
{
"code": "163WM1400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "M3 Squared",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.