Individual provider Active NPI

Miranda J Costa, ND

  • Naturopath
  • Grants Pass, OR
National Provider Identifier
1114382694
Registry record updated Jul 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
3058 Issued in OR
Practice address
1215 NE 7TH St Ste D
Grants Pass, OR 97526-1450
Phone
(541) 778-4130
Fax
(541) 325-4089
NPI assigned
Dec 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 3058 OR Primary

Addresses

Primary practice location

1215 NE 7TH St Ste D
Grants Pass, OR 97526-1450

Mailing address

1215 NE 7TH St Ste D
Grants Pass, OR 97526-1450
Phone (541) 655-3870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3058ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Onepeak Southern Oregon PC CurrentSince Jan 1, 2023 Accepting new patients

Locations

1325 NE 7th St
Grants Pass, OR 97526
Phone (541) 460-5331

3265 Hillcrest Park Dr
Medford, OR 97504
Phone (541) 275-6655

Interoperability endpoints

  • Direct secure messaging: miranda.costa@9297197596676.direct.elationemr.com

Organizations & group practices 1

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": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752969600000",
    "number": "1114382694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 NE 7TH ST STE D",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261450",
            "telephone_number": "541-655-3870",
            "fax_number": "541-325-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 NE 7TH ST STE D",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261450",
            "telephone_number": "541-778-4130",
            "fax_number": "541-325-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "MIRANDA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-28",
        "last_updated": "2025-07-20",
        "certification_date": "2025-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "3058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2025; 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.