Miranda Zitek, RN, BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN2332445 Issued in MA

Practice address

548 Park Ave # B
Worcester, MA 01603-2537

Phone

(774) 823-1500

NPI assigned

May 28, 2019

Last updated

May 28, 2019By the provider in NPPES

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

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1144887910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BRIGHAM RD",
            "city": "PAXTON",
            "state": "MA",
            "postal_code": "016121051",
            "telephone_number": "402-802-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 PARK AVE # B",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016032537",
            "telephone_number": "774-823-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZITEK",
        "first_name": "MIRANDA",
        "name_prefix": "Ms.",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2332445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurtis Roy Zimmerman, OD
• Erika N Zimmons, DO
• Daniel J Zinkus, PA-C
• Joshua Ziolo
• Demi Lee Zipperian, OTR/L
• Iva Zivna, M.D.
• Jaroslav Zivny, M.D.
• Leah Marie Ziwich, DPT
• Matthew Davoren Zogby, MD
• Mary Katherine Zolla, R.N.

• Registered Nurse in Worcester, MA
• Providers in Worcester, MA by specialty
• Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.