Individual provider Active NPI

Whitney Miranda, CNM

  • Advanced Practice Midwife
  • Melbourne, FL
National Provider Identifier
1053016907
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
330 E Hibiscus Blvd
Melbourne, FL 32901-3155
Phone
(321) 724-2229
NPI assigned
Mar 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X FL Primary

Addresses

Primary practice location

330 E Hibiscus Blvd
Melbourne, FL 32901-3155

Mailing address

330 E Hibiscus Blvd
Melbourne, FL 32901-3155
Phone (321) 724-2229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230509000371 FL Practitioner - Certified Nurse Midwife (CNM) 8527423995 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Brevard Health Alliance Inc CurrentSince Aug 4, 2023 Accepting new patients
Brevard Health Alliance, Inc. CurrentSince Aug 4, 2023 Accepting new patients
Brevard Health Alliance Inc Current Accepting new patients
Florida Woman Care, LLC CurrentSince Jun 1, 2023 Accepting new patients
Womencare PA Past Accepting new patients
Brevard Health Alliance Inc Past Accepting new patients

Locations

330 E Hibiscus Blvd
Melbourne, FL 32901
Phone (321) 724-2229

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

2120 Sarno Rd
Melbourne, FL 32935
Phone (321) 952-9696

3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 337-8814

1765 Berglund Ln
Ste 102
Viera, FL 32940
Phone (321) 724-2229

Interoperability endpoints

  • Direct secure messaging: whitney.miranda@bha.eclinicaldirectplus.com
  • Direct secure messaging: whitney.miranda.1@2183.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1053016907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E HIBISCUS BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013155",
            "telephone_number": "321-724-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E HIBISCUS BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013155",
            "telephone_number": "321-724-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "WHITNEY",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.