Active NPI
Miranda Rose Lloyd, CPNP
- Pediatric Nurse Practitioner
- Midlothian, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 0024171928
- Practice address
- 5021 Craig Rath Blvd
Building IV
Midlothian, VA 23112-6243 - Phone
- (804) 592-5437
- NPI assigned
- Aug 5, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 0024171928 | VA | Primary |
Addresses
Primary practice location
5021 Craig Rath Blvd
Building IV
Midlothian, VA 23112-6243
Mailing address
5021 Craig Rath Blvd
Building IV
Midlothian, VA 23112-6243
Phone (804) 920-1516
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)
- Not enrolled
- Credentials
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024171928 | VA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidmed Inc. | Current | Accepting new patients | |
| Kidmed Southside PLC | Past | Accepting new patients |
Locations
4687 Pouncey Tract Rd
Glen Allen, VA 23059
Phone (804) 422-5437
8356 Bell Creek Rd
Mechanicsville, VA 23116
Phone (804) 559-5437
5021 Craig Rath Blvd
Bldg Iv
Midlothian, VA 23112
Phone (804) 422-5437
20 Doc Stone Rd
Stafford, VA 22556
Phone (540) 602-7766
Interoperability endpoints
- mirandalloyd@kidmed.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Urgent Care Clinic/Center
- Glen Allen, VA
- NPI 1407013121
-
- Urgent Care Clinic/Center
- Midlothian, VA
- NPI 1477869337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407196800000",
"number": "1124437025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5021 CRAIG RATH BLVD",
"address_2": "BUILDING IV",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231126243",
"telephone_number": "804-920-1516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5021 CRAIG RATH BLVD",
"address_2": "BUILDING IV",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231126243",
"telephone_number": "804-592-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LLOYD",
"first_name": "MIRANDA",
"middle_name": "ROSE",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-05",
"last_updated": "2014-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "VA",
"license": "0024171928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.