JESSICA MIRANDA (NPI# 1699219691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699219691 |
| Entity Type | Individual |
| Full Name | JESSICA MIRANDA |
| Credential | COTA/L |
| Practice Address |
11100 Gibson Blvd Se Unit D75 Albuquerque NM 87123-3407 |
| Practice Telephone | 5053154389 |
| Mailing Telephone | 5053154389 |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2016-12-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 3219 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104486265 | Jessica A Miranda | Behavior Technician | 15230 Sw 139th St, Miami, FL 33196-5022 | 2019-06-19 |
| 1700434677 | Jessica Miranda | Technician, Other | 2400 E Katella Ave Ste 800, Anaheim, CA 92806-5955 | 2019-09-03 |
| 1033774781 | Jessica Silva Miranda | Student in an Organized Health Care Education/Training Program | 20 York St, New Haven, CT 06510-3220 | 2019-05-08 |
| 1447722731 | Jessica Miranda | Community/Behavioral Health | 8300 Utica Ave Ste 259, Rancho Cucamonga, CA 91730-3852 | 2018-12-26 |
| 1306126891 | Jessica L Miranda | Pharmacist | 1081 Ga Highway 96, Warner Robins, GA 31088-2507 | 2011-08-28 |
| 1932276060 | Jessica Miranda | Counselor | 251 Llewellyn Ave, Campbell, CA 95008-1940 | 2006-11-30 |
| Street Address |
11100 GIBSON BLVD SE UNIT D75 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87123-3407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360291 | Frances J. Dewent | Technician | 504 Aragon St Se, Albuquerque, NM 87123 | 2020-09-09 |
| 1275042293 | Amanda Valdez-androlewicz | Nurse Practitioner | 1117 Monte Largo Dr Ne, Albuquerque, NM 87123 | 2017-09-21 |
| 1740708809 | 11.11, LLC | Case Manager/Care Coordinator | 11724 Copper Pl Ne, Albuquerque, NM 87123 | 2017-09-08 |
| 1710375365 | Diane Crouse | Occupational Therapist | 820 Monte Alto Dr Ne, Albuquerque, NM 87123 | 2015-01-06 |
| 1346640760 | Christopher Trout | Physical Therapist | 11419 Deer Lodge Rd Se, Albuquerque, NM 87123 | 2014-09-04 |
| 1255682944 | Armstrong Medical LLC | Physician Assistant | 13170 Central Ave Se, Suite B 345, Albuquerque, NM 87123 | 2012-09-21 |
| 1467709006 | Tomas Maestas | Emergency Medical Technician, Paramedic | 1515 Eubank Blvd Se Bldg. 831/832, Albuquerque, NM 87123 | 2012-08-14 |
| 1831476951 | Shellie Nicole Field | Pharmacist | 1515 Eubank Se, Bldg 831 Rm 143, Albuquerque, NM 87123 | 2011-11-03 |
| 1023325768 | Moss Trompeter | Pharmacist | 1931 Cam Fella St Se, Albuquerque, NM 87123 | 2010-09-01 |
| 1114239522 | Miguel A. Perez Abreu | Preventive Medicine | 600 Wyoming Blvd Ne, Albuquerque, NM 87123 | 2010-07-14 |
| Find all providers in zip 87123 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962970061 | Donald Borrego | Occupational Therapy Assistant | 5200 Copper Ne, #7, Albuquerque, NM 87108 | 2018-11-06 |
| 1336633585 | Julian Cisneros | Occupational Therapy Assistant | 5801 Eubank Blvd Ne Apt 9, Albuquerque, NM 87111-6180 | 2018-06-20 |
| 1659813061 | Violet Bustillos | Occupational Therapy Assistant | 909 Kinley Ave Nw, Albuquerque, NM 87104-2181 | 2016-11-16 |
| 1194173088 | Salim M Syed | Occupational Therapy Assistant | 5928 Ermemin Ave Nw, Albuquerque, NM 87114-5993 | 2016-06-01 |
| 1851763080 | Trisha Poorbaugh | Occupational Therapy Assistant | 1313 Alcazar St Ne, Albuquerque, NM 87110-7109 | 2015-10-27 |
| 1275904773 | Joanie Pearson | Occupational Therapy Assistant | 645 Grace St Ne, Albuquerque, NM 87123-1318 | 2015-10-09 |
| 1346639770 | Anthony Gustamantes | Occupational Therapy Assistant | 10508 Easy Pl Nw, Albuquerque, NM 87114-5088 | 2015-01-22 |
| 1285023606 | Kathy Welch | Occupational Therapy Assistant | 2841 Manzano St Ne, Albuquerque, NM 87110-3025 | 2015-01-22 |
| 1952790966 | Misty Jo Munoz | Occupational Therapy Assistant | 5800 Night Rose Ave Nw, Albuquerque, NM 87114-3591 | 2015-01-14 |
| 1124416953 | Susan Gillen | Occupational Therapy Assistant | 3600 Eubank Blvd Ne, Unit 9b, Albuquerque, NM 87111-4846 | 2015-01-01 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87123 |
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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.