MRS. MIRANDA JO DAVID (NPI# 1144390329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144390329 |
| Entity Type | Individual |
| Full Name | MRS. MIRANDA JO DAVID |
| Credential | R.N. |
| Practice Address |
11505 W. Hwy. 24 Divide CO 80814 |
| Mailing Address |
Po Box 482 Divide CO 80814-0482 |
| Practice Telephone | 7196876416 |
| Mailing Telephone | 7196876494 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
128371 | CO | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 51032732 | 05 |
| Street Address |
11505 W. HWY. 24 |
| City | DIVIDE |
| State | CO |
| Zip Code | 80814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508372152 | Lori Ptak | Registered Nurse | 11115 W Highway 24, Unit 2c, Divide, CO 80814 | 2017-12-19 |
| 1598140741 | Stacey Knapp | Dental Hygienist | 34 Hybrook Road, Divide, CO 80814 | 2015-07-29 |
| 1710287925 | Sunrise Medical Alerts LLC | Emergency Response System Companies | 101 Stephanie Pl, Divide, CO 80814 | 2010-10-22 |
| 1417191933 | Teller County Public Health | Public Health or Welfare | 11115 W. Hwy. 24, Unit 2c, Divide, CO 80814 | 2009-04-28 |
| 1265677702 | Jody R Barger | Massage Therapist | 64 Grandview Circle, Divide, CO 80814 | 2008-12-12 |
| 1578720918 | Teller County Public Health | Public Health or Welfare | 11115 W Hwy 24 Rd, Unit 2c, Divide, CO 80814 | 2008-05-22 |
| 1003084369 | Jacqueline Revello | Counselor | 11115 W. Hwy 24, Unit 2c, Divide, CO 80814 | 2008-02-20 |
| 1851459242 | Deborah Martinez Cunningham | Dental Hygienist | 34 Hybrook Road -south, Divide, CO 80814 | 2006-12-05 |
| 1528136348 | Martha Diane Hubbard | Registered Nurse | 11115 Hwy 24, Unit 2 C, Divide, CO 80814 | 2006-12-01 |
| 1548337249 | Jennifer L Mccarthy | Physician Assistant | 34 Hybrook Rd South, Divide, CO 80814 | 2006-11-29 |
| Find all providers in zip 80814 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528136348 | Martha Diane Hubbard | Registered Nurse | 11115 Hwy 24, Unit 2 C, Divide, CO 80814 | 2006-12-01 |
| 1346310380 | Lorraine Agold-rich | Registered Nurse | 11505 Hwy. 24, Divide, CO 80814-0928 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881257087 | Alice Catherine Harvey | Registered Nurse | 200 Main St Ste 200, Meeker, CO 81641-3354 | 2019-04-15 |
| 1265917215 | Jobeth Mills | Registered Nurse | 325 8th Street, Hugo, CO 80821 | 2018-09-26 |
| 1457848483 | Elizabeth Michelle Stoffel | Registered Nurse | 1225 Paragon Pl, Fort Collins, CO 80525-9127 | 2018-04-16 |
| 1134641632 | Ashley French-holt | Registered Nurse | 281 Sawyer Dr Ste 300, Durango, CO 81303-3412 | 2017-07-17 |
| 1801318407 | Teresa Littlefield | Registered Nurse | 4863 N Nevada Ave # 229, Colorado Springs, CO 80918-3951 | 2017-07-14 |
| 1043732092 | Jennifer Lynn Jones | Registered Nurse | 4863 N Nevada Ave # 224, Colorado Springs, CO 80918-3951 | 2017-07-12 |
| 1669920096 | Ryan Hedrick | Registered Nurse | 5156 E Atlantic Pl, Denver, CO 80222-4708 | 2016-09-14 |
| 1063875557 | James T Biel | Registered Nurse | 3855 Canyon Ranch Rd Unit 203, Highlands Ranch, CO 80126-6077 | 2016-04-01 |
| 1730593112 | Maritza Martinez | Registered Nurse | 1026 Wabriendo Ave, Pueblo, CO 81004 | 2014-06-13 |
| 1730504861 | Carrie A Tobin | Registered Nurse | 817 W Oak St, Fort Collins, CO 80521-2513 | 2014-02-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.