Kathleen C Mira

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

1111 Las Gallinas Ave
San Rafael, CA 94903-1843

Phone

(415) 491-6616

NPI assigned

May 28, 2026

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": "1779926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1104757012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 LAS GALLINAS AVE",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949545421",
            "telephone_number": "415-491-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 LAS GALLINAS AVE",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031843",
            "telephone_number": "415-491-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRA",
        "first_name": "KATHLEEN",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-28",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Joy Miller, M.S.W.
• Richard Cushing Miller, PH.D.
• Timothy T Miller Jr., DDS
• Jenna Milligan
• Mindful Nature Practice: a Professional Nursing Corporation
• Maria Miranda Taylor, MD
• Omid Mirfendereski, DDS, MPH
• Julie Ann Mistretta, MSN, FNP-C
• Denise Angela Joan Mitchell
• Stuart L Mitchell

• Health & Wellness Coach in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Health & Wellness Coach in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.