Individual provider Active NPI

Reinaldo Felix Miralles

  • Family Nurse Practitioner
  • Morristown, TN
National Provider Identifier
1780554501
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
40142 Issued in TN
Practice address
1751 W Morris Blvd Ste 3
Morristown, TN 37813-3870
Phone
(423) 839-0036
NPI assigned
Nov 6, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 40142 TN Primary

Addresses

Primary practice location

1751 W Morris Blvd Ste 3
Morristown, TN 37813-3870

Mailing address

170 Claire PL
Talbott, TN 37877-1704

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
40142TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Omega Medical and Aesthetics PLLC Family CurrentSince Jan 1, 2026 Accepting new patients

Locations

1751 W Morris Blvd
Ste 3
Morristown, TN 37813
Phone (423) 839-0036

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1762387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1780554501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 CLAIRE PL",
            "city": "TALBOTT",
            "state": "TN",
            "postal_code": "378771704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 W MORRIS BLVD STE 3",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378133870",
            "telephone_number": "423-839-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRALLES",
        "first_name": "REINALDO",
        "middle_name": "FELIX",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "40142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.