Miranda Michelle Gatica

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

773 Bandit TRL
Keller, TX 76248-0111

Phone

(179) 848-6558

NPI assigned

Jul 31, 2024

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

• Miranda M Sampsell Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 31, 2024.

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1144059619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4226 WINDHURST DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760154539",
            "telephone_number": "817-789-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "773 BANDIT TRL",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762480111",
            "telephone_number": "179-848-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATICA",
        "first_name": "MIRANDA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "SAMPSELL",
            "middle_name": "M",
            "credential": "MARRIED NAME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in Keller, TX
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.