Miah Kirby Elmore, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

0000185879 Issued in TN

Practice address

240 Colonial Cir Ste a
Jamestown, TN 38556-3924

Phone

(931) 879-9936

Fax

(931) 879-9938

NPI assigned

Jan 25, 2021

Last updated

Jan 25, 2021By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• State of Tennessee

  dba Fentress County Health Department

  • Federally Qualified Health Center (FQHC)
  • Jamestown, TN
  • NPI 1740331792
  NPD
• State of Tennessee

  dba Robertson County Health Department

  • Public Health or Welfare Agency
  • Springfield, TN
  • NPI 1316090145
  NPD (past)

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1952991846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 COLONIAL CIR STE A",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385563924",
            "telephone_number": "931-879-9936",
            "fax_number": "931-879-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 COLONIAL CIR STE A",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385563924",
            "telephone_number": "931-879-9936",
            "fax_number": "931-879-9938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMORE",
        "first_name": "MIAH",
        "middle_name": "KIRBY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "0000185879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE LICENSURE NUMBER",
            "identifier": "0000185879",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Alesa Fisher Esh, R.D,, L.D.N.
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• Eye Centers of Tennessee, LLC
• Fast Pace Medical Clinic PLLC
• Fast Pace Medical Clinic PLLC

• Registered Nurse in Jamestown, TN
• Providers in Jamestown, TN by specialty
• Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.