Miranda Leanna Thompson, AT

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

17931 Highway 67 Apt 101
Statesboro, GA 30458-2301

Phone

(229) 449-2868

NPI assigned

Sep 16, 2024

Sex

Female

Sole proprietor

Yes

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": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1104653963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17931 HIGHWAY 67 APT 101",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304582301",
            "telephone_number": "229-449-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17931 HIGHWAY 67 APT 101",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304582301",
            "telephone_number": "229-449-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MIRANDA",
        "middle_name": "LEANNA",
        "credential": "AT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fionn Thomas, D.M.D.
• Kristen Ashley Thomas, PA-C
• Marissa Thomas
• Anne Weekley Thompson, MSPT
• Candice Jean Thompson, ASSOCIATES DIPLOMA
• Rachel Thompson
• Katie Thomsen, PT, DPT
• Thrive Health and Wellness LLC
• Caroline Thurman, LPC
• Courtenay L Tillman, FNP-BC

• Student in an Organized Health Care Education/Training Program in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Student in an Organized Health Care Education/Training Program in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.