Individual provider Active NPI

Alyssa M Miranda, FNP

  • Family Nurse Practitioner
  • Uxbridge, MA
National Provider Identifier
1154994747
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2294063 Issued in MA
Practice address
281 E Hartford Ave
Uxbridge, MA 01569-1253
Phone
(508) 278-5573
Fax
(508) 278-8477
NPI assigned
Jul 21, 2021
Last updated
Apr 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2294063 MA Primary

Addresses

Primary practice location

281 E Hartford Ave
Uxbridge, MA 01569-1253

Mailing address

PO Box 415348
Boston, MA 02241-1977
Phone (800) 225-8885

Other practice location 1

54 W Point Rd
Webster, MA 01570-3348
Phone (617) 692-0498

Other practice location 2

44 W Boylston St # 229
Worcester, MA 01605-1261
Phone (508) 852-0238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220106002670 MA Practitioner - Nurse Practitioner 4688065345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

281 E Hartford Ave
Uxbridge, MA 01569-1278
Phone (508) 278-5573

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2294063MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Umass Memorial Medical Group Inc CurrentSince May 23, 2022 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince May 23, 2022 Accepting new patients

Locations

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1154994747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022411977",
            "telephone_number": "800-225-8885",
            "fax_number": "508-334-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 E HARTFORD AVE",
            "city": "UXBRIDGE",
            "state": "MA",
            "postal_code": "015691253",
            "telephone_number": "508-278-5573",
            "fax_number": "508-278-8477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "54 W Point Rd",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "MA",
            "postal_code": "015703348",
            "country_code": "US",
            "telephone_number": "617-692-0498",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44 W Boylston St # 229",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016051261",
            "country_code": "US",
            "telephone_number": "508-852-0238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "ALYSSA",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2294063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uxbridge, MA

Sources for this page

Verify at the official NPI Registry.