MIRANDA AFSHARIRAD (NPI# 1790255891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790255891 |
| Entity Type | Individual |
| Full Name | MIRANDA AFSHARIRAD |
| Credential | CPNP |
| Practice Address |
600 High Tech Dr Georgetown TX 78626-8185 |
| Practice Telephone | 5129304776 |
| Mailing Telephone | 5129304776 |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2018-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP138227 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
600 HIGH TECH DR |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78626-8185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114112745 | Chisholm Trail Pediatrics Inc Pa | Clinic/Center | 600 High Tech Dr, Georgetown, TX 78626-8185 | 2007-09-06 |
| 1528526928 | Raquel Limon | Nurse Practitioner | 600 High Tech Dr, Georgetown, TX 78626-8185 | 2019-03-05 |
| 1508332073 | Raquel Goytia | Nurse Practitioner | 600 High Tech Dr, Georgetown, TX 78626-8185 | 2018-10-22 |
| 1295138998 | Emilye Kathryn Eggeling | Nurse Practitioner | 600 High Tech Dr, Georgetown, TX 78626-8185 | 2014-10-08 |
| 1780941807 | Rachel Matula | Nurse Practitioner | 600 High Tech Dr, Georgetown, TX 78626-8185 | 2012-04-13 |
| 1366751133 | Lisa Suzanne Flachs | Pediatrics | 600 High Tech Dr, Georgetown, TX 78626-8185 | 2010-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932603230 | Danietra Mcgrue | Home Health Aide | 108 Blue Waterleaf Ln, Georgetown, TX 78626 | 2018-03-21 |
| 1588175673 | Kristin Marie Alaniz | Nurse Practitioner | 2112 Sw H K Dodgen Loop, Suite 110, Georgetown, TX 78626 | 2017-10-17 |
| 1669865275 | Stephen Harris | Counselor | 101 W Cooperative Way Ste 100, Georgetown, TX 78626 | 2015-03-07 |
| 1356739080 | Craig Crossman | Physical Therapy Assistant | 705 E 13th St, Georgetown, TX 78626 | 2015-01-05 |
| 1679977318 | Nancy Krenek | Physical Therapist | 2050 Rockride Ln., Georgetown, TX 78626 | 2014-10-09 |
| 1275956807 | Georgetown Behavioral Health Institute, LLC | Psychiatric Hospital | 3101 S. Austin Avenue, Georgetown, TX 78626 | 2014-02-03 |
| 1184056954 | Rock Springs, LLC | Psychiatric Hospital | 700 Southeast Inner Loop, Georgetown, TX 78626 | 2013-08-05 |
| 1447691936 | Brandon Michael Hoffman | Dentist | 1821 Westinghouse Road, Suite 1130, Georgetown, TX 78626 | 2013-07-11 |
| 1235422932 | Erica Marie Edgington | Nurse Anesthetist, Certified Registered | Westlake Anesthesia Group, Pa, 1004 South Rock Street, Georgetown, TX 78626 | 2011-05-27 |
| 1356570907 | Grace Salone | Optometrist | 950 W University Ave Ste 108, Georgetown, TX 78626 | 2009-07-03 |
| Find all providers in zip 78626 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588175673 | Kristin Marie Alaniz | Nurse Practitioner | 2112 Sw H K Dodgen Loop, Suite 110, Georgetown, TX 78626 | 2017-10-17 |
| 1699067504 | Eliamar Herrera | Nurse Practitioner | 517 Tamara Dr, Georgetown, TX 78628-8828 | 2011-05-10 |
| 1588846166 | Linda Joyce Petrusick | Nurse Practitioner | 57 Jessamine Street, Georgetown, SC 29442 | 2007-12-05 |
| 1831710458 | Christine Maire Black | Nurse Practitioner | 21141 Sterling Ave Unit 1, Georgetown, DE 19947-5571 | 2020-05-05 |
| 1366905655 | Emily Kate Jenkins | Nurse Practitioner | 435 Marina Dr, Georgetown, SC 29440-2410 | 2019-04-12 |
| 1528526928 | Raquel Limon | Nurse Practitioner | 600 High Tech Dr, Georgetown, TX 78626-8185 | 2019-03-05 |
| 1508332073 | Raquel Goytia | Nurse Practitioner | 600 High Tech Dr, Georgetown, TX 78626-8185 | 2018-10-22 |
| 1912382052 | Anna Newell | Nurse Practitioner | 57 Jessamine Ave, Georgetown, SC 29440-5837 | 2015-07-29 |
| 1295138998 | Emilye Kathryn Eggeling | Nurse Practitioner | 600 High Tech Dr, Georgetown, TX 78626-8185 | 2014-10-08 |
| 1780941807 | Rachel Matula | Nurse Practitioner | 600 High Tech Dr, Georgetown, TX 78626-8185 | 2012-04-13 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 78626 |
Please comment or provide details below to improve the information on MIRANDA AFSHARIRAD.
| 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.