MS. MIRANDA JANE SMITH (NPI# 1821514316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821514316 |
| Entity Type | Individual |
| Full Name | MS. MIRANDA JANE SMITH |
| Credential | NP-C |
| Practice Address |
3510 Montlimar Plaza Dr Ste 100 Mobile AL 36609-1746 |
| Mailing Address |
5458 Colony Trace Ct Satsuma AL 36572-2409 |
| Practice Telephone | 2516354541 |
| Mailing Telephone | 2514902026 |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2017-11-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 1-129637 | AL | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
1-129637 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377295 | Miranda Smith | Occupational Therapist | 706 Eisenhower Blvd Ste 3, Johnstown, PA 15904-3527 | 2020-05-14 |
| 1851912992 | Miranda Rochelle Smith | Student in an Organized Health Care Education/Training Program | 915 E Warner Ave, Guthrie, OK 73044-3618 | 2020-04-29 |
| 1376829622 | Miranda S Smith | Counselor | 1640 Powers Ferry Rd Bldg 3, 200, Marietta, GA 30067-5491 | 2011-11-01 |
| 1841797016 | Miranda Vanessa Smith | Social Worker | 975 Kirman Ave, Reno, NV 89502-0993 | 2018-04-12 |
| 1548762917 | Miranda Katelynn Smith | Dietitian, Registered | 4603 Timberwalk Ct, La Grange, KY 40031-6746 | 2018-03-01 |
| 1467978999 | Miranda Smith | Occupational Therapist | 4500 E Cherry Creek South Dr Ste 710, Denver, CO 80246-1534 | 2017-08-16 |
| 1649718826 | Miranda Beth Smith | Social Worker | 37450 Schoolcraft Rd, Livonia, MI 48150-1082 | 2017-02-07 |
| 1568702611 | Miranda P Smith | Nurse Practitioner | 2986 Us Highway 431, Boaz, AL 35957-5848 | 2013-02-27 |
| 1639474216 | Miranda Boone Smith | Physical Medicine & Rehabilitation | 801 Merrick Ave, East Meadow, NY 11554-4748 | 2011-01-13 |
| 1184934192 | Miranda Smith | Counselor | 3435 W Craig Rd, Suite A, North Las Vegas, NV 89032-5115 | 2010-10-12 |
| Street Address |
3510 MONTLIMAR PLAZA DR STE 100 |
| City | MOBILE |
| State | AL |
| Zip Code | 36609-1746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698309 | Bhg Lxxii, LLC | Clinic/Center | 4373 Dowtowner Loop South, Suite A, Mobile, AL 36609 | 2020-10-26 |
| 1760036008 | Jesse David Schultz | Chiropractor | 3501 Montlimar Plaza Drive, Mobile, AL 36609 | 2019-07-25 |
| 1982267241 | Raqueal L. Williams | Registered Nurse | 406 Larose Dr., Mobile, AL 36609 | 2019-04-22 |
| 1588131924 | Angela Roney | Counselor | 705 Oak Circle Dr. East, Mobile, AL 36609 | 2018-10-24 |
| 1134617996 | Harley Michelle Oliver | Physician Assistant | 820 S. University Blvd Bldg 1, Suite 1b, Mobile, AL 36609 | 2018-04-27 |
| 1912420126 | Rural Urgent Care LLC | Clinic/Center | 6280 Grelot Road, Mobile, AL 36609 | 2017-07-19 |
| 1598128407 | Trisha Mcmillon | Counselor | 3929 Airport Blvd Ste 1-214, Mobile, AL 36609 | 2016-03-30 |
| 1437523347 | Sonya White D.d.s. PC | Dentist | 6309 Piccadilly Square Dr., Mobile, AL 36609 | 2015-11-17 |
| 1386913374 | Janis Marie Fausser | Pharmacist | 5705 Cottagehill Rd, Mobile, AL 36609 | 2011-12-20 |
| 1245524263 | Emily Chisholm | Physical Therapist | 1515 University Blvd. S., Mobile, AL 36609 | 2011-06-07 |
| Find all providers in zip 36609 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386206688 | Tasha Latiya Jones | Nurse Practitioner | 4950 Government Blvd Apt 75, Mobile, AL 36693-5011 | 2019-07-08 |
| 1760843981 | Tatianne Bell | Nurse Practitioner | 3862 Cypress Shores Dr N, Mobile, AL 36619-9713 | 2016-03-15 |
| 1639298540 | Linda Sullivan | Nurse Practitioner | 210 Government St, Mobile, AL 36602-2614 | 2007-03-29 |
| 1518924828 | Kim Havas | Nurse Practitioner | 3737 Government Blvd, Ste 408, Mobile, AL 36693-4308 | 2006-04-28 |
| 1922623453 | Anna Katherine Leurck | Nurse Practitioner | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2020-06-10 |
| 1598310740 | Mary Jane Smith | Nurse Practitioner | 3750 Professional Pkwy, Mobile, AL 36609-5407 | 2019-08-05 |
| 1518424266 | Kelly Vincent Dauenheimer | Nurse Practitioner | 6701 Airport Blvd Ste A101, Mobile, AL 36608-6767 | 2019-02-28 |
| 1043774664 | Rachael Hughes Taylor | Nurse Practitioner | 22 Mobile St, Mobile, AL 36607-3121 | 2019-01-28 |
| 1750888921 | Roselee Roxane Fenley | Nurse Practitioner | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2018-04-12 |
| 1477059392 | Zakiyyah Jones | Nurse Practitioner | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2018-03-30 |
| Find all providers in MOBILE | ||||
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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.