Miranda S Terres, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9113619 Issued in FL

Practice address

6376 Pine Ridge Rd Unit 180
Naples, FL 34119-3926

Phone

(239) 263-0849

Fax

(239) 263-2376

NPI assigned

Nov 22, 2020

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

Other names 1

• Miranda S Moore Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Naples Heart Rhythm Specialists PA

  • Clinical Cardiac Electrophysiology Physician
  • Naples, FL
  • NPI 1730376708

  FL

  Medicare reassignment

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

{
    "created_epoch": "1606003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1114521069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6376 PINE RIDGE RD UNIT 180",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193926",
            "telephone_number": "239-263-0849",
            "fax_number": "239-263-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6376 PINE RIDGE RD UNIT 180",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193926",
            "telephone_number": "239-263-0849",
            "fax_number": "239-263-2376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 Goodlette Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341025617",
            "country_code": "US",
            "telephone_number": "239-682-6603",
            "fax_number": "239-263-2014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRES",
        "first_name": "MIRANDA",
        "middle_name": "S",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-22",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "MOORE",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeanetta Griffith Tepper, LCSW
• Teresa Liccardi, M.D., PLLC
• Terracina II, LLC
• Terracina III, LLC
• Terracina, LLC
• Terry R. Vanderheyden OD
• Guillermo Tersy
• Patricia Tewis, ARNP
• Chintankumar Thakkar
• Ethan Thakran, DO

• Physician Assistant in Naples, FL
• Providers in Naples, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.