SARA DIANA MIRANDA


Address: 5425 W Lake St, Chicago, IL 60644-2342
Phone: 7733783347

SARA DIANA MIRANDA (NPI# 1841690328) 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) 1841690328
Entity Type Individual
Full Name SARA DIANA MIRANDA
Other Name SARA DIANA ZAKARIAN
Credential APN
Practice Address 5425 W Lake St
Chicago
IL 60644-2342
Mailing Address 645 S Central Ave
Suite 600
Chicago
IL 60644-5059
Practice Telephone 7733783347
Mailing Telephone 7735370020
Mailing Fax Number 7735370029
Enumeration Date 2014-09-03
Last Update Date 2019-12-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 209012136 IL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
645 S Central Ave, Suite 600, Chicago, IL 606445059 7735370020 7735370029

Other Providers SARA MIRANDA

NPI Name Taxonomy Address Enumeration
1790260826 Sara Miranda Social Worker 71 Arsenal St, Watertown, MA 02472-2638 2018-09-25

Office Location

Street Address 5425 W LAKE ST
City CHICAGO
State IL
Zip Code 60644-2342

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871575233 Lisa Kozinski Family Medicine 5425 W Lake St, Chicago, IL 60644-2342 2005-11-18
1588288773 Bridget Mary Doyle Student in an Organized Health Care Education/Training Program 5425 W Lake St, Chicago, IL 60644-2342 2020-06-03
1023677051 Alvie Bender Social Worker 5425 W Lake St, Chicago, IL 60644-2342 2019-06-12
1699333476 Reema Yogesh Patel Student in an Organized Health Care Education/Training Program 5425 W Lake St, Chicago, IL 60644-2342 2019-06-05
1013574136 Michelle Behrens Social Worker 5425 W Lake St, Chicago, IL 60644-2342 2019-05-23
1578120770 Joanna Trask Counselor 5425 W Lake St, Chicago, IL 60644-2342 2019-05-22
1568920171 Erick Woodrow Skaff Student in an Organized Health Care Education/Training Program 5425 W Lake St, Chicago, IL 60644 2019-03-04
1356805386 Kathleen Escalona Nurse Practitioner 5425 W Lake St, Chicago, IL 60644-2342 2019-01-23
1942791702 Matthew Joseph Rudolph Student in an Organized Health Care Education/Training Program 5425 W Lake St, Chicago, IL 60644-2342 2018-05-28
1306337233 Sarah Neugarten Nurse Practitioner 5425 W Lake St, Chicago, IL 60644-2342 2018-05-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710535638 Marta Yvonne Palmer Technician 5008 W Adams, Chicago, IL 60644 2019-09-04
1861056848 B U I L D Incorporated Social Worker 5100 W Harrison St., Chicago, IL 60644 2019-04-25
1851806269 Habilitative Systems, Inc. Case Management 4732 W Ohio St, Chicago, IL 60644 2017-12-07
1336408665 Meghan Nancy Daw Dietitian, Registered 646 S Central Ave, Chicago, IL 60644 2012-05-07
1164790515 Elizabeth Eleanor Reid-tate Pharmacist 5222 W. Madison Avenue, Chicago, IL 60644 2011-12-13
1134458466 Power Teen Program Psychologist 300 N Central Ave, Chicago, IL 60644 2009-12-16
1417198342 Betty Jean Lofton Counselor 5938 W. Midway Park, Chicago, IL 60644 2009-03-24
1881856094 Sanjay M. Patel M.d. S.c. Psychiatry & Neurology 5730 W. Roosevelt Road, Chicago, IL 60644 2008-06-29
1639348691 Ysl Care, Inc Community Based Residential Treatment Facility, Mental Illness 5107-21 West Jackson Blvd, Chicago, IL 60644 2008-02-25
1073795845 Maryanne Rakidzioski Occupational Therapist 5103 W Jackson Blvd, Chicago, IL 60644 2007-12-03
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477151272 Yolanda K Bradford Nurse Practitioner 2700 S California Ave, Chicago, IL 60608-5108 2020-10-14
1073125431 Faith M Langtiw Nurse Practitioner 2704 W Catalpa Ave, Chicago, IL 60625-3216 2020-08-18
1871114025 Quickcare, Pllc Nurse Practitioner 6419 W Touhy Ave Apt 4a, Chicago, IL 60646-1040 2020-04-29
1376170894 Julia Jekli Nurse Practitioner 365 N Halsted St Apt 3009, Chicago, IL 60661-1379 2020-03-25
1821623281 Rina Delapena Nurse Practitioner 5630 N Sheridan Rd Apt 319, Chicago, IL 60660-4810 2020-03-06
1902439193 Iwona Boska Nurse Practitioner 676 N St.clair Street, Suite 2140, Chicago, IL 60611 2020-02-17
1962032813 Sonia Ivelis Fernandez Nurse Practitioner 6129 N Campbell Ave Apt 1, Chicago, IL 60659-2809 2020-01-20
1164060257 Julie Ann Daniels Nurse Practitioner 5808 W Eddy St, Chicago, IL 60634-4351 2019-12-19
1720625593 Bogdana Gryniv Nurse Practitioner 5758 S Maryland Ave Ste 5a, Chicago, IL 60637-1426 2019-11-29
1023669835 Carlette Bailey Nurse Practitioner 6700 S Oglesby Ave Apt 1204, Chicago, IL 60649-1373 2019-09-23
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Competitor

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City CHICAGO
Zip Code 60644

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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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