Misti Michelle Miller, LMT MMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

9674482-4701 Issued in UT

Practice address

568 W Telegraph St
Washington, UT 84780-1205

Phone

(702) 378-2841

Fax

(435) 627-0781

NPI assigned

Nov 28, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Summit Chiropractic LLC

  • Primary Care Nurse Practitioner
  • St George, UT
  • NPI 1831626993
  NPD (past)

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1689188799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 W TELEGRAPH ST",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847801205",
            "telephone_number": "702-378-2841",
            "fax_number": "435-627-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 W TELEGRAPH ST",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847801205",
            "telephone_number": "702-378-2841",
            "fax_number": "435-627-0781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 N Mall Dr Unit H102",
            "address_purpose": "LOCATION",
            "city": "Saint George",
            "state": "UT",
            "postal_code": "847907341",
            "country_code": "US",
            "telephone_number": "435-862-0125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MISTI",
        "middle_name": "MICHELLE",
        "credential": "LMT MMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-28",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "9674482-4701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF UTAH DEPARTMENT OF COMMERCE",
            "identifier": "9674482-4701",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Salumu Masudi
• Rodney Mayes, MS
• Addison Mae McClure, RN
• Iuri Tiago Melo, LCSW
• Alex D Miller
• Mobile Dental Hygiene of St. George
• Momentum Psychiatry
• Amanda Jene Mortenson
• Becky Mumford
• Elise T Munson, P.T.

• Massage Therapist in Washington, UT
• Providers in Washington, UT by specialty
• Massage Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.