Olga Lidia Miranda Hernandez

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Practice address

41 Voltaire Ave
Henderson, NV 89002-6553

Phone

(702) 845-1332

Fax

(702) 558-2305

NPI assigned

Oct 8, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349654400000",
    "number": "1013269554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 VOLTAIRE AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890026553",
            "telephone_number": "702-845-1332",
            "fax_number": "702-558-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 VOLTAIRE AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890026553",
            "telephone_number": "702-845-1332",
            "fax_number": "702-558-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA HERNANDEZ",
        "first_name": "OLGA",
        "middle_name": "LIDIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-08",
        "last_updated": "2012-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Joseph Minoli, M.D., F.A.C.S.
• Kadeem Minor
• Seyed Abbas Mirabbasi, M.D
• Angela Miralda de Granados
• Miramar Nevada LLC
• Hanna Miranda
• Kendricks Peralta Miranda
• Mary Grace Miranda
• Michelle Miranda
• Arthur Darrell Mirasol, PT

• Intellectual & Developmental Disabilities Psychologist in Henderson, NV
• Providers in Henderson, NV by specialty
• Intellectual & Developmental Disabilities Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.