Active NPI
Kimy Joan Mira, DNAP, CRNA
- Certified Registered Nurse Anesthetist
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 147576
- Practice address
- 8072 N Millbrook Ave Apt 263
Fresno, CA 93720-2295 - Phone
- (408) 807-7247
- NPI assigned
- Jul 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Certified Registered Nurse Anesthetist | 367500000X | 147576 | TX | Primary |
| Critical Care Medicine Registered Nurse | 163WC0200X | 95085159 | CA |
Addresses
Primary practice location
8072 N Millbrook Ave Apt 263
Fresno, CA 93720-2295
Mailing address
8072 N Millbrook Ave Apt 263
Fresno, CA 93720-2295
Phone (408) 807-7247
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, KY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Metker TRL
Stanford, KY 40484-1020
Phone (606) 365-4771
5501 S McColl Rd
Edinburg, TX 78539-5503
Phone (956) 661-0529
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95085159 | CA | MD | Critical Care Medicine Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renaissance Specialist Clinic | Single Specialty | Current | Accepting new patients |
| McAllen Anesthesia Consultants, PA | Single Specialty | Current | Accepting new patients |
| McAllen Anesthesia Consultants, PA | Single Specialty | Current | Accepting new patients |
| Renaissance Medical Foundation | Single Specialty | Current | Accepting new patients |
Locations
5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300
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.
-
- Anesthesiology Physician
- Edinburg, TX
- NPI 1841200805
Single Specialty
-
- Anesthesiology Physician
- Owensboro, KY
- NPI 1376415596
-
- Anesthesiology Physician
- Edinburg, TX
- NPI 1952311441
Single Specialty
-
- Internal Medicine Physician
- Edinburg, TX
- NPI 1467633867
Single Specialty
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba DHR Health
- General Acute Care Hospital
- Edinburg, TX
- NPI 1053317362
-
dba DHR Health
- Transplant Surgery Physician
- McAllen, TX
- NPI 1104338052
Hospital
-
dba Owensboro Health Regional Hospital
- General Acute Care Hospital
- Owensboro, KY
- NPI 1285613612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1134790082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8072 N MILLBROOK AVE APT 263",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202295",
"telephone_number": "408-807-7247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8072 N MILLBROOK AVE APT 263",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202295",
"telephone_number": "408-807-7247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRA",
"first_name": "KIMY JOAN",
"credential": "DNAP, CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-01",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "147576",
"primary": true
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "CA",
"license": "95085159",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.