Active NPI
Miranda Day, NP
- Nurse Practitioner
- Johnson City, TN
National Provider Identifier
1124560487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 21145
- Practice address
- 818 Sunset Dr
Ste. 102
Johnson City, TN 37604-8310 - Phone
- (423) 794-3142
- Fax
- (865) 330-6323
- NPI assigned
- Nov 17, 2016
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 21145 | TN | Primary |
Addresses
Primary practice location
818 Sunset Dr
Ste. 102
Johnson City, TN 37604-8310
Mailing address
102 Lee Carter Dr
Johnson City, TN 37601-3094
Phone (865) 330-6320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4972149 | Other | TN | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21145 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CS Pacs 3 Southeast, LLC | Current | Accepting new patients | |
| NV Pacs 2 LLC | Current | Accepting new patients | |
| Ipc Pac Healthcare Services of Tennessee PC | Nurse Practitioner | Current | Accepting new patients |
| Associated Pain Specialists, PC | Past | Accepting new patients | |
| Priority Anesthesia, LLC | Past | Accepting new patients |
Locations
880 S Mohawk Dr
Erwin, TN 37650
Phone (423) 743-7669
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Bristol, TN
- NPI 1104277656
Nurse Practitioner
-
- Nurse Practitioner
- Harriman, TN
- NPI 1831322973
-
- Multi-Specialty Clinic/Center
- Gray, TN
- NPI 1760803324
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1689816365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482278400000",
"number": "1124560487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 LEE CARTER DR",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376013094",
"telephone_number": "865-330-6320",
"fax_number": "865-330-6323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 SUNSET DR",
"address_2": "STE. 102",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376048310",
"telephone_number": "423-794-3142",
"fax_number": "865-330-6323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAY",
"first_name": "MIRANDA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-17",
"last_updated": "2016-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "21145",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4972149",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.