Tony Mutugi Miriti, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

RN2323890 Issued in MA

Practice address

119 Pleasant St
Lowell, MA 01852-2720

Phone

(978) 728-7392

NPI assigned

Jan 7, 2020

Sex

Male

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1982244075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 PLEASANT ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018522720",
            "telephone_number": "978-728-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 PLEASANT ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018522720",
            "telephone_number": "978-728-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRITI",
        "first_name": "TONY",
        "middle_name": "MUTUGI",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MA",
            "license": "RN2323890",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MA",
            "license": "RN2323890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talia Mimmo
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• Aysha Rida Mirie
• Stoyanka Mirkova, RPH
• Arlene Mita, CNM
• Alice Mitchell, CPNP-PC
• Jennifer Mitchell, MSW
• Kristen Mitchell, MS, ATC

• General Practice Registered Nurse in Lowell, MA
• Providers in Lowell, MA by specialty
• General Practice Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.