Organization Active NPI

Miracle Minerals & Massage

  • Nurse Massage Therapist (NMT)
  • Baltimore, MD
National Provider Identifier
1336750124
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse Massage Therapist (NMT)Taxonomy code 163WM1400X
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

Updated by the provider on Aug 14, 2020

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

Authorized official

Name
Miss Ayanna Femi Ferebee, LICENSED NURSENPI 1043821226
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)CodeLicenseStatePrimary
Nurse Massage Therapist (NMT)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.