MS. SUSAN MIRANDA PEOPLES (NPI# 1316967144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316967144 |
| Entity Type | Individual |
| Full Name | MS. SUSAN MIRANDA PEOPLES |
| Other Name | MS. SUSAN HELEN MIRANDA |
| Credential | FNP MSN |
| Practice Address |
219 Princeton Rd Johnson City TN 37601-2052 |
| Mailing Address |
609 Douglas Dr Johnson City TN 37604 |
| Practice Telephone | 4239752200 |
| Practice Fax Number | 4239752210 |
| Mailing Telephone | 4232839234 |
| Mailing Fax Number | 4239752210 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2011-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
RN 0000077907 | TN | Nursing Service Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
APN 0000006292 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | DEA | MP1045637 | 01 |
| Street Address |
219 PRINCETON RD |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601-2052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083239172 | Heather Marie Tester | Dental Assistant | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2020-06-15 |
| 1376168559 | Nikki Marie Wright | Dental Assistant | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2020-06-12 |
| 1114564168 | Ashley Lyons | Registered Nurse | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2019-12-09 |
| 1871140194 | Rachel Miller | Registered Nurse | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2019-08-21 |
| 1598328320 | Rachel Denise Hobbs | Registered Nurse | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2019-04-17 |
| 1447712179 | Sarah Elizabeth Boop | Registered Nurse | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2019-04-02 |
| 1306347349 | Amy Shelton | Registered Nurse | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2018-02-26 |
| 1487154019 | Amanda F Boone | Licensed Practical Nurse | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2018-02-20 |
| 1700394335 | Leslie 'nikki' Nichole Morris | Registered Nurse | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2018-01-17 |
| 1770097966 | Teri Alexis Hammons | Registered Nurse | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2017-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
| 1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
| 1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
| 1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
| 1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
| 1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
| Find all providers in zip 37601 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316472509 | Total Health and Wellness | Nurse Practitioner | 801 E Watauga Ave Ste 2, Johnson City, TN 37601-4113 | 2017-04-25 |
| 1568570273 | East Tennessee State University | Nurse Practitioner | 365 Stout Drive, Nicks Hall Rm 160, Johnson City, TN 37614-6500 | 2006-08-25 |
| 1407884869 | Dana Allen | Nurse Practitioner | 403 Princeton Rd Ste 1, Johnson City, TN 37601-2040 | 2006-06-28 |
| 1720641137 | Brooke Nicole Griffith | Nurse Practitioner | 2312 Knob Creek Rd Ste 208, Johnson City, TN 37604-2367 | 2019-04-22 |
| 1174955090 | Ellen Patricia Reynolds | Nurse Practitioner | 52 Harrison St, Johnson City, NY 13790-2120 | 2013-08-01 |
| 1821057738 | Lynda G Weatherly | Nurse Practitioner | 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982658 | Kirsten Marie Doerfer | Nurse Practitioner | 8512 Golden Cloud Ln, Knoxville, TN 37931-3164 | 2020-11-06 |
| 1912506551 | Anna Simpson Jones | Nurse Practitioner | 1042 E 3rd St Ste 103, Chattanooga, TN 37403-2161 | 2020-10-24 |
| 1033724349 | Tatum Lee Severino I | Nurse Practitioner | 8819 Three Chimneys Dr E, Germantown, TN 38138-8206 | 2020-09-14 |
| 1871106930 | Munira Asif | Nurse Practitioner | 874 Schilling Farm Rd Apt 106, Collierville, TN 38017-7039 | 2020-08-28 |
| 1669000840 | Tekeyla Warfield | Nurse Practitioner | 2980 Poplar Ave, Memphis, TN 38111-3527 | 2020-04-01 |
| 1578197836 | Jessica Pratt | Nurse Practitioner | 512 Marbury Rd, Tullahoma, TN 37388-2142 | 2020-02-26 |
| 1730729278 | Anna Abigail Markus | Nurse Practitioner | 211 Long Branch Rd, Lawrenceburg, TN 38464-5400 | 2020-01-13 |
| 1023653037 | Staci Garner | Nurse Practitioner | 2508 Highway 130, Petersburg, TN 37144-8001 | 2019-11-13 |
| 1881238533 | Janna Rae Haskins | Nurse Practitioner | 5137 Vinnie Dell Drive, Chapel Hill, TN 37034 | 2019-11-05 |
| 1124676325 | Marde M Walker | Nurse Practitioner | 8225 Highway 51 North, Millington, TN 38053 | 2019-08-30 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
Please comment or provide details below to improve the information on MS. SUSAN MIRANDA PEOPLES.
| 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.