Individual provider Active NPI

Morgan Miracle, RRT

  • Registered Respiratory Therapist
  • Middlesboro, KY
National Provider Identifier
1548631237
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
3782 Issued in KY
Practice address
1632 Cumberland Ave
Suite 1
Middlesboro, KY 40965-1378
Phone
(606) 302-4309
Fax
(606) 766-0808
NPI assigned
Oct 7, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X 3782 KY Primary

Addresses

Primary practice location

1632 Cumberland Ave
Suite 1
Middlesboro, KY 40965-1378

Mailing address

1632 Cumberland Ave
Suite 1
Middlesboro, KY 40965-1378
Phone (606) 302-4309

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

LicenseStateTypeSpecialty
3782KYMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rest-Moore Inc. Current Accepting new patients

Locations

1632 Cumberland Ave
Ste 1
Middlesboro, KY 40965
Phone (606) 302-4309

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449792000000",
    "number": "1548631237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 CUMBERLAND AVE",
            "address_2": "SUITE 1",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409651378",
            "telephone_number": "606-302-4309",
            "fax_number": "606-766-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 CUMBERLAND AVE",
            "address_2": "SUITE 1",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409651378",
            "telephone_number": "606-302-4309",
            "fax_number": "606-766-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRACLE",
        "first_name": "MORGAN",
        "name_prefix": "Mr.",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "KY",
            "license": "3782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlesboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.