Angelyn Marie Miracle, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

14956 Issued in CA

Practice address

31170 Temecula Pkwy Ste 200
Temecula, CA 92592-2915

Phone

(951) 699-3299

NPI assigned

Sep 29, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1144539842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 MESA DR STE 300",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920543701",
            "telephone_number": "760-736-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31170 TEMECULA PKWY STE 200",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922915",
            "telephone_number": "951-699-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRACLE",
        "first_name": "ANGELYN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "14956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minhky Young DDS, P.C.
• Minhky Young DDS, P.C.
• Genevieve M Minka, MD
• Madison Minnett
• Hailey Nicole Minter
• Carolina Miranda
• Shannon Miranda, DPT
• David Mireles
• Denise S Miresmaili
• Mission Family Medical Group

• Pediatric Nurse Practitioner in Temecula, CA
• Providers in Temecula, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.