Active NPI
Miranda Nunez, MD
- Family Medicine Physician
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD61631941
- Practice address
- 624 E Front Ave
Spokane, WA 99202-2139 - Phone
- (509) 626-9900
- NPI assigned
- Sep 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD61631941 | WA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | RTL22-0109 | NC |
Addresses
Primary practice location
624 E Front Ave
Spokane, WA 99202-2139
Mailing address
605 S Coolidge St
Moses Lake, WA 98837-1873
Phone (509) 764-6111
Other practice location 1
607 Beaman St
Clinton, NC 28328-2603
Phone (910) 596-5421
Other practice location 2
605 S Coolidge St
Moses Lake, WA 98837-1873
Phone (509) 765-0674
Other practice location 3
2806 W Powhatan Ave
Tampa, FL 33614-6039
Phone (813) 420-1456
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Tampa | Health Information Exchange (HIE) | |
| Direct Messaging Address | mnunez@sampsonrmc.org | Direct | |
| FHIR URL | miranda-nunez@sampsonrps.e-mdsdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- San Juan Bautista School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
624 E Front Ave
Spokane, WA 99202-2139
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD61631941 | WA | MD | Family Medicine Physician |
| RTL22-0109 | NC | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Washington | Family Medicine | Current | Accepting new patients |
| Providence Health & Services Washington | Current | Accepting new patients | |
| Providence Health & Services - Washington | Past | Accepting new patients |
Locations
1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701
624 E Front Ave
Spokane, WA 99202
Phone (509) 626-9900
Interoperability endpoints
- mnunez3317720@wm.providencedirect.org
Organizations & group practices 3
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.
-
- Pulmonary Disease Physician
- Spokane, WA
- NPI 1194099390
Family Medicine
-
- General Practice Physician
- Spokane, WA
- NPI 1306391446
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Hoquiam, WA
- NPI 1043374119
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1144471715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1053925321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 S COOLIDGE ST",
"city": "MOSES LAKE",
"state": "WA",
"postal_code": "988371873",
"telephone_number": "509-764-6111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 E FRONT AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992022139",
"telephone_number": "509-626-9900"
}
],
"practiceLocations": [
{
"address_1": "607 Beaman St",
"address_purpose": "LOCATION",
"city": "Clinton",
"state": "NC",
"postal_code": "283282603",
"country_code": "US",
"telephone_number": "910-596-5421",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "605 S Coolidge St",
"address_purpose": "LOCATION",
"city": "Moses Lake",
"state": "WA",
"postal_code": "988371873",
"country_code": "US",
"telephone_number": "509-765-0674",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2806 W Powhatan Ave",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336146039",
"country_code": "US",
"telephone_number": "813-420-1456",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NUNEZ",
"first_name": "MIRANDA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-03",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD61631941",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "RTL22-0109",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Tampa",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "2806 W Powhatan Ave",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336146039",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mnunez@sampsonrmc.org",
"affiliation": "N",
"endpointDescription": "Sampson Medical Group Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "516 Beaman St",
"city": "Clinton",
"state": "NC",
"country_code": "US",
"postal_code": "283282602",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "miranda-nunez@sampsonrps.e-mdsdirect.com",
"affiliation": "N",
"address_1": "2806 W Powhatan Ave",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336146039",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.