MIRANDA ROSE (NPI# 1336554146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336554146 |
| Entity Type | Individual |
| Full Name | MIRANDA ROSE |
| Practice Address |
1100 W 6th Ave Gary IN 46402-1711 |
| Mailing Address |
361 N Grand Blvd Gary IN 46403-1942 |
| Practice Telephone | 2198854264 |
| Practice Fax Number | 2198861332 |
| Mailing Telephone | 6628206514 |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2014-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215357991 | Miranda Elizabeth Rose | Family Medicine | 4860 Frank Ave Nw, North Canton, OH 44720-7426 | 2014-04-22 |
| Street Address |
1100 W 6TH AVE |
| City | GARY |
| State | IN |
| Zip Code | 46402-1711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912970229 | Mathew V Castelino | Psychiatry & Neurology | 1100 W 6th Ave, Gary, IN 46402-1711 | 2006-02-08 |
| 1578162087 | Laura Lisseth Robles | Technician, Other | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-10-26 |
| 1013516939 | Laresse Harris | Nurse Practitioner | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-10-21 |
| 1245838762 | Alexis Katherine Neylon | Technician, Other | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-10-16 |
| 1386242378 | Ameena R Rucker | Case Manager/Care Coordinator | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-10-13 |
| 1215535372 | Brittany Marie Comer | Specialist/Technologist | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-10-12 |
| 1093321549 | Curtis Freeman | Case Manager/Care Coordinator | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-09-21 |
| 1174136980 | Shania Johnson | Technician | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-08-31 |
| 1669080248 | Syreeta Newsom | Technician | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-07-20 |
| 1841808433 | Andrea W Johnson | Technician | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790154417 | Edgewater Systerms for Balanced Living | Community/Behavioral Health | 1106 West 6 Th Avenue, Gary, IN 46402 | 2015-09-23 |
| 1447642772 | Michael Pirtle | Counselor | 1100 W. Fifth Ave, Gary, IN 46402 | 2015-02-24 |
| 1356748370 | Peter F Uchman | Social Worker | 1100 W. 6th Ave., Gary, IN 46402 | 2014-11-20 |
| 1295142594 | Demetria A Macon | Counselor | 1100 W. 6th Ave, Gary, IN 46402 | 2014-07-18 |
| 1396952503 | 21st Century Charter School At Gary | Local Education Agency (LEA) | 556 W Washington, Gary, IN 46402 | 2007-05-17 |
| 1609094630 | Jomon Mathew | Physical Therapist | 353 Tyler St, Gary, IN 46402 | 2007-04-23 |
| 1376677138 | Kovilparambil Xavier Antony | Psychiatry & Neurology | 1100 W 6th Avenue, Gary, IN 46402 | 2007-03-15 |
| 1588759013 | Waltee Douglas | Psychologist | 667 Van Buren, Gary, IN 46402 | 2006-10-03 |
| 1851332514 | Thessa Grace Robertson | Emergency Medicine | 600 Grant Street, Gary, IN 46402 | 2006-06-10 |
| 1932672888 | The Methodist Hospitals, Inc | Pharmacy | 600 Grant St, Gary, IN 46402 | 2019-01-03 |
| Find all providers in zip 46402 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035507 | Christopher Parker | Counselor | 855 Taft St, Gary, IN 46404-1255 | 2020-08-25 |
| 1023504198 | Austin Jerome Malone | Counselor | 4905 Melton Rd, Gary, IN 46403-2873 | 2018-07-02 |
| 1790274504 | Hidejah Rasheeda Walter | Counselor | 2710 W 7th Pl, Gary, IN 46404-1217 | 2018-05-07 |
| 1912418880 | Voyage LLC | Counselor | 2471 Noble St, Gary, IN 46404-3269 | 2017-10-18 |
| 1851814339 | Kemuel Sean Hawkins | Counselor | 7318 Hemlock Ave, Gary, IN 46403-2153 | 2017-07-17 |
| 1295273035 | Lisa Johnson | Counselor | 498 W 22nd Pl, Gary, IN 46407-3010 | 2017-01-31 |
| 1265833990 | Dwight Williams | Counselor | 1122 W 47th Ave, Gary, IN 46408-4408 | 2014-09-12 |
| 1508297417 | Linda Tolbert | Counselor | 101 N Montgomery St, Gary, IN 46403-3921 | 2013-12-02 |
| 1548530439 | Sibis Counseling Center LLC | Counselor | 3195 Broadway Lowr Level, Gary, IN 46409-1006 | 2012-01-09 |
| 1366606592 | Tamara Rose Williams | Counselor | 1649 Broadway, Gary, IN 46407-2231 | 2008-07-16 |
| Find all providers in GARY | ||||
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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.