Individual provider Active NPI

Miranda McKinney McHone, COTA/L

  • Occupational Therapy Assistant
  • Walnut Cove, NC
National Provider Identifier
1184006413
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
8816 Issued in NC
Practice address
1100 Wall Loop Rd
Walnut Cove, NC 27052-5803
Phone
(336) 593-5307
NPI assigned
Jun 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 8816 NC Primary
Occupational Therapy Assistant 224Z00000X 0131001291 VA

Addresses

Primary practice location

1100 Wall Loop Rd
Walnut Cove, NC 27052-5803

Mailing address

1100 Wall Loop Rd
Walnut Cove, NC 27052-5803
Phone (336) 593-5307

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

State licenses

LicenseStateTypeSpecialty
8816NCMDPharmacist
0131001291VAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1184006413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WALL LOOP RD",
            "city": "WALNUT COVE",
            "state": "NC",
            "postal_code": "270525803",
            "telephone_number": "336-593-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WALL LOOP RD",
            "city": "WALNUT COVE",
            "state": "NC",
            "postal_code": "270525803",
            "telephone_number": "336-593-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCHONE",
        "first_name": "MIRANDA",
        "middle_name": "MCKINNEY",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "8816",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "0131001291",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Cove, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.