Individual provider Active NPI

Mia D Earl, PH.D., MPH, CHES

  • Reflexologist
  • Memphis, TN
National Provider Identifier
1891927356
Registry record updated Jun 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ReflexologistTaxonomy code 173C00000X
License
RCR0000000163 Issued in TN
Practice address
5731 Nanjack Cir
Memphis, TN 38115-2058
Phone
(901) 240-0980
NPI assigned
Aug 18, 2009
Last updated
Jun 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reflexologist 173C00000X RCR0000000163 TN Primary

Addresses

Primary practice location

5731 Nanjack Cir
Memphis, TN 38115-2058

Mailing address

5731 Nanjack Cir
Memphis, TN 38115-2058
Phone (901) 240-0980

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
RCR0000000163TNMDReflexologist

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560556800000",
    "number": "1891927356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5731 NANJACK CIR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381152058",
            "telephone_number": "901-240-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5731 NANJACK CIR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381152058",
            "telephone_number": "901-240-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARL",
        "first_name": "MIA",
        "middle_name": "D",
        "credential": "PH.D., MPH, CHES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-18",
        "last_updated": "2019-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "TN",
            "license": "RCR0000000163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.