Mackenzie Elizabeth Miles

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

14302 Boston Rd
Strongsville, OH 44136-8603

Phone

(440) 527-4384

NPI assigned

Mar 23, 2018

Last updated

Mar 23, 2018By the provider in NPPES

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

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521763200000",
    "number": "1932603941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14302 BOSTON RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441368603",
            "telephone_number": "440-527-4384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14302 BOSTON RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441368603",
            "telephone_number": "440-527-4384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "MACKENZIE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metro Health Medical Center
• Betsy Meyer
• Jesenia Miele, CMT
• Heather Mielke, D.O.
• Jessica Miles, COTA/L
• James A Milligan, RPH
• Jean E Milliken Sabol, LISW
• Stela Mimis
• Mark Steven Misencik, DDS
• Steven Misencik, D.M.D.

• Athletic Trainer in Strongsville, OH
• Providers in Strongsville, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; 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.