Active NPI
Marcelle MJ Miller, DOM
- Acupuncturist
- West Palm Beach, FL
National Provider Identifier
1679531032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP1551
- Practice address
- 1717 N. Flagler Dr. #8
West Palm Beach, FL 33407 - Phone
- (561) 655-2222
- Fax
- (561) 659-5240
- NPI assigned
- May 3, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AP1551 | FL | Primary |
Addresses
Primary practice location
1717 N. Flagler Dr. #8
West Palm Beach, FL 33407
Mailing address
1717 N. Flagler Dr. #8
West Palm Beach, FL 33407
Phone (561) 655-2222
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 |
|---|---|---|---|
| AP1551 | FL | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Rehabilitation Services Inc | Acupuncturist | Past | Accepting new patients |
Interoperability endpoints
- marcelle.miller.1@15445.direct.athenahealth.com
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": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679531032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 N. FLAGLER DR. #8",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "33407",
"telephone_number": "561-655-2222",
"fax_number": "561-659-5240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 N. FLAGLER DR. #8",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "33407",
"telephone_number": "561-655-2222",
"fax_number": "561-659-5240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MARCELLE",
"middle_name": "MJ",
"name_prefix": "Dr.",
"credential": "DOM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP1551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.