Active NPI
Irene Lapuz Miranda, RN
- Registered Nurse
- Anchorage, AK
National Provider Identifier
1174729792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 26208
- Practice address
- 9401 Aphrodite Drive
Anchorage, AK 99515 - Phone
- (907) 336-1296
- Fax
- (907) 336-1298
- NPI assigned
- Jun 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 26208 | AK | Primary |
Addresses
Primary practice location
9401 Aphrodite Drive
Anchorage, AK 99515
Mailing address
9401 Aphrodite Drive
Anchorage, AK 99515
Phone (907) 336-1296
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RL 3873 | Other | AK | FIRST HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26208 | AK | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Everlast Assisted Living Home | Past | Accepting new patients | |
| Carmelite Home | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Assisted Living Facility
- Anchorage, AK
- NPI 1952597718
-
- Physical Disabilities Residential Treatment Facility
- Anchorage, AK
- NPI 1790035087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174729792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9401 APHRODITE DRIVE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99515",
"telephone_number": "907-336-1296",
"fax_number": "907-336-1298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9401 APHRODITE DRIVE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99515",
"telephone_number": "907-336-1296",
"fax_number": "907-336-1298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDA",
"first_name": "IRENE",
"middle_name": "LAPUZ",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AK",
"license": "26208",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "RL 3873",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.