MIRANDA LOUISE FARIS (NPI# 1659903144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659903144 |
| Entity Type | Individual |
| Full Name | MIRANDA LOUISE FARIS |
| Credential | NURSE PRACTITIONER |
| Practice Address |
11188 N 550 E Demotte IN 46310-8947 |
| Practice Telephone | 2199645312 |
| Mailing Telephone | 2199645312 |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F07191270 | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11188 N 550 E |
| City | DEMOTTE |
| State | IN |
| Zip Code | 46310-8947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447872197 | Mackenna Lee Vandertuin | Early Intervention Provider Agency | 400 11th Circle Se, Demotte, IN 46310 | 2020-05-15 |
| 1316283609 | Jasper County Chiropractic, Inc. | Chiropractor | 701 South Halleck Street, Demotte, IN 46310 | 2012-12-14 |
| 1518136944 | John Joseph Perry | Pharmacist | 915 S Halleck St, Demotte, IN 46310 | 2008-02-29 |
| 1164644498 | Dodi R. Woolley Dds, Inc | Dentist | 534 N Hallock St, Demotte, IN 46310 | 2007-05-03 |
| 1700989233 | Eric J Leestma | Family Medicine | 519 N Halleck, Demotte, IN 46310 | 2006-09-07 |
| 1215960463 | Keener Civil Township Jasper County Ttee | Ambulance | 708 15th St Se, Demotte, IN 46310 | 2006-07-09 |
| 1437187085 | Cecilia Jean Sampsel | Family Medicine | 520 Eighth Ave N.e, Demotte, IN 46310 | 2006-06-30 |
| 1689602468 | Frances Clark | Nurse Practitioner | 11920 W State Rd 10, Demotte, IN 46310 | 2006-06-29 |
| 1336359801 | Donabelle Reyes Eliscupides | Physical Therapist | 10352 N 600 E, Demotte, IN 46310 | 2007-05-23 |
| 1760691638 | Cheryle Rae Lewandowski | Physical Therapy Assistant | 10352 N 600 E, Demotte, IN 46310 | 2007-05-21 |
| Find all providers in zip 46310 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467563114 | C&j Family Health Care Clinic, LLC | Nurse Practitioner | 11920 W State Road 10, Demotte, IN 46310-9755 | 2006-08-31 |
| 1689602468 | Frances Clark | Nurse Practitioner | 11920 W State Rd 10, Demotte, IN 46310 | 2006-06-29 |
| 1710411228 | Teressa M Meseberg | Nurse Practitioner | 310 N Halleck St, Demotte, IN 46310-9419 | 2017-04-12 |
| 1891230140 | Adam Leestma | Nurse Practitioner | 519 N Halleck St, Demotte, IN 46310-9553 | 2016-12-22 |
| 1720533201 | Keri J. Smith | Nurse Practitioner | 520 8th Ave Ne, Demotte, IN 46310-9108 | 2016-08-24 |
| 1811386709 | Sarah Lukasik | Nurse Practitioner | 310 N Halleck St, Demotte, IN 46310-9419 | 2015-01-14 |
| 1619391364 | Helen Anderson | Nurse Practitioner | 520 8th Ave Ne, Demotte, IN 46310-9108 | 2014-02-14 |
| 1285992297 | Desiree Elizabeth Samples | Nurse Practitioner | 310 N Halleck St, Demotte, IN 46310-9419 | 2012-04-26 |
| 1720113160 | Frances Jean Smith | Nurse Practitioner | 519 N Halleck, Demotte, IN 46310-0850 | 2007-02-23 |
| 1104951409 | Sharon A Johnson | Nurse Practitioner | 519 N Halleck, Demotte, IN 46310 | 2007-02-23 |
| Find all providers in DEMOTTE | ||||
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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.