MIRANDA LOFGREN (NPI# 1215327630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215327630 |
| Entity Type | Individual |
| Full Name | MIRANDA LOFGREN |
| Practice Address |
2036 N Walnut St Apt B17 Bloomington IN 47404-2465 |
| Practice Telephone | 8156014135 |
| Enumeration Date | 2015-01-24 |
| Last Update Date | 2015-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2036 N WALNUT ST APT B17 |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47404-2465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225574262 | Chad Daniel Salomon | Student in an Organized Health Care Education/Training Program | 2036 N Walnut St, Apt A12, Bloomington, IN 47404-2465 | 2017-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526631 | Sandra Clark | Counselor | 205 N College Avenue, Suite 210a, Bloomington, IN 47404 | 2020-07-29 |
| 1750926085 | Michelle Christine Dustin | Nurse Practitioner | 610 N Morton Street, Bloomigton, IN 47404 | 2019-11-11 |
| 1316440191 | Julie D'argent | Psychologist | 205 N College Ave Ste 430, Bloomington, IN 47404 | 2018-03-17 |
| 1770966467 | Richard Lawson | Counselor | 1117 North Jackson Street, Bloomington, IN 47404 | 2015-06-30 |
| 1477952109 | Teresa R. Foster | Social Worker | 205 N. College Avenue, Suite 210b, Bloomington, IN 47404 | 2014-08-19 |
| 1073879532 | First Health Plus, Inc | Clinic/Center | 104 North Curry Pike, Bloomington, IN 47404 | 2012-04-09 |
| 1497079982 | Tera Dee Nance | Counselor | 101 W. Kirkwood Avenue, Suite 009 Fountain Square Mall, Bloomington, IN 47404 | 2010-03-26 |
| 1962643114 | Pathways Counseling Center | Community/Behavioral Health | 3866 W. Third Street, Bloomington, IN 47404 | 2009-03-18 |
| 1932358595 | Catherine Elizabeth Batka | Psychologist | 101 W. Kirkwood Ave, Suite 103, Bloomington, IN 47404 | 2008-09-18 |
| 1396901005 | Kijin Woo | Dentist | 330 N Jacob Drive, Bloomington, IN 47404 | 2008-08-01 |
| Find all providers in zip 47404 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132003 | Faizo A Hersi | Student in an Organized Health Care Education/Training Program | 9700 International Dr Suite 300, Bloomington, MN 55425 | 2020-10-22 |
| 1528689312 | Cody Schroeder | Student in an Organized Health Care Education/Training Program | 19 Norman Ridge Dr, Bloomington, MN 55437-1749 | 2020-05-03 |
| 1578117107 | Ingrid Alexis Lopez | Student in an Organized Health Care Education/Training Program | 9817 Vine St, Bloomington, CA 92316-2038 | 2019-07-31 |
| 1356907026 | Shannon G Freed | Student in an Organized Health Care Education/Training Program | 10660 Hampshire Ave S Apt 3102, Bloomington, MN 55438-2629 | 2019-05-17 |
| 1730649062 | Matthew Acton | Student in an Organized Health Care Education/Training Program | 2341 E Plateau Pl, Bloomington, IN 47401-9502 | 2019-03-22 |
| 1881158012 | Amber Caitlyn Bentley | Student in an Organized Health Care Education/Training Program | 701 N Walnut St Apt 211, Bloomington, IN 47404-4038 | 2019-01-22 |
| 1104337245 | Ashley Roy | Student in an Organized Health Care Education/Training Program | 1202 N Walnut St, Bloomington, IN 47404-3534 | 2017-10-16 |
| 1326584244 | Jonah Harrison Prickel | Student in an Organized Health Care Education/Training Program | 713 S Brighton Crst, Bloomington, IN 47401-8684 | 2017-01-17 |
| 1598154825 | Tyler Daniel Reems | Student in an Organized Health Care Education/Training Program | 935 S Copper Beech Way Apt E, Bloomington, IN 47403-5242 | 2015-01-09 |
| 1518245273 | Quentin L. Speight | Student in an Organized Health Care Education/Training Program | 2200 W Sudbury Dr, A-7, Bloomington, IN 47403-3736 | 2011-07-29 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47404 |
Please comment or provide details below to improve the information on MIRANDA LOFGREN.
| 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.