Miracle Reese

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1-120693 Issued in AL

Practice address

3500 Clairmont Ave S Apt 179
Birmingham, AL 35222-3523

Phone

(205) 239-8185

NPI assigned

Jul 30, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1649824400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 CLAIRMONT AVE S APT 179",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352223523",
            "telephone_number": "205-239-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 CLAIRMONT AVE S APT 179",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352223523",
            "telephone_number": "205-239-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "MIRACLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "AL",
            "license": "1-120693",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-120693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cara Johanna Reedy, DPT
• Celeste Reese Willis, MD
• Lashonda Kachet Reese-Shanks, BSN
• Katie Reese, LPC
• Larry Francis Reese, PHARMACIST
• Nadine Michelle Reese, RPH
• Taylor Ann Reese, RN
• Tyler Steven Reese, DO
• Amanda B Reeves Vining, CRNA
• Benjamin Todd Reeves, MD

• Registered Nurse in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Registered Nurse in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.