MRS. MIRANDA D WITHERS


Address: 349 Bogle St Ste A, Somerset, KY 42503-2895
Phone: 6066790179

MRS. MIRANDA D WITHERS (NPI# 1427369206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427369206
Entity Type Individual
Full Name MRS. MIRANDA D WITHERS
Credential ARNP
Practice Address 349 Bogle St Ste A
Somerset
KY 42503-2895
Practice Telephone 6066790179
Practice Fax Number 6066790546
Mailing Telephone 6066790179
Mailing Fax Number 6066790546
Enumeration Date 2010-06-28
Last Update Date 2014-12-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
6526P KY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY 7100130590 05

Office Location

Street Address 349 BOGLE ST STE A
City SOMERSET
State KY
Zip Code 42503-2895

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801360524 William G Parker Jr. Nurse Practitioner 349 Bogle St Ste A, Somerset, KY 42503-2895 2019-01-15

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1023669652 Carehere LLC Family Medicine Carehere Clinic- Toyotetsu Somerset Ky, 80 Pin Oak, Somerset, KY 42503 2019-09-25
1841859766 Armina Jo Hoeck Behavior Technician Kid Spot Center, 200 Tower Circle, Somerset, KY 42503 2019-06-13
1548723042 Lisa Hunter Counselor 225 Ky 2227, Somerset, KY 42503 2019-04-11
1982171237 Bluegrass Hearing Clinic, LLC Audiologist 25 Medpark West, Suite 2, Somerset, KY 42503 2018-10-25
1780109116 Kentucky Diagnostic Ultrasound, LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 324 Water Cliff Dr., Somerset, KY 42503 2017-08-07
1689115172 Lake Cumberland Physician Practices LLC Internal Medicine 154 Bogle Office Park Dr Ste B, Somerset, KY 42503 2017-03-16
1811356892 Lake Cumberland Physician Practices, LLC Nurse Practitioner 27 Imaging Dr, Suite B, Somerset, KY 42503 2016-02-18
1730586447 Amy Molen Counselor 259 Parkers Mill Road, Somerset, KY 42503 2014-11-24
1841630654 Eastern Pulaski Rural Health Clinic,pllc Clinic/Center 31 Mark Shopville Rd, Somerset, KY 42503 2013-06-26
1881978807 Nathan S Fisher Counselor 600 Clifty St Ste 2, Somerset, KY 42503 2011-10-10
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043819196 Kimberly S Christie Nurse Practitioner 107 Sheraton Ave, Somerset, MA 02725-1150 2020-10-20
1902418569 Erica Figuerado Nurse Practitioner 175 Yankee Peddler Dr, Somerset, MA 02726-4133 2020-08-17
1508497470 Cornerstone Family Practice LLC Nurse Practitioner 485 Country Acres Dr, Somerset, KY 42503-5036 2020-01-30
1043859911 Crystal R Broughton Nurse Practitioner 383 Splendor View Dr, Somerset, KY 42503-7517 2019-12-24
1326697566 Rhonda Kelly Nurse Practitioner 6470 S Highway 27, Somerset, KY 42501-6075 2019-09-10
1437667102 Rosalia Aguilar Nurse Practitioner 46 Carmen St, Somerset, NJ 08873-2407 2018-01-16
1194244871 Rebecca Allison Serre Nurse Practitioner 105 W Church St Ste 1, Somerset, PA 15501-2269 2017-09-14
1568910909 Kiosk Medicine Kentucky LLC Nurse Practitioner 90 Stonegate Ctr, Somerset, KY 42501 2016-09-14
1245601491 Jill Davisson Nurse Practitioner 5820 Township Road 39 Nw, Somerset, OH 43783-9792 2015-10-14
1821481813 Shelley Danielle Stockton Bruce Nurse Practitioner 110 Hardin Ln Ste 10, Somerset, KY 42503-3818 2015-03-15
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Competitor

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City SOMERSET
Zip Code 42503

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Dataset Information

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.

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