Individual provider Active NPI

Joyce Teocson Miranda, ARNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Puyallup, WA
National Provider Identifier
1184021610
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61104257 Issued in WA
Practice address
1519 3Rd St SE Ste 101
Puyallup, WA 98372-3742
Phone
(253) 841-8939
Fax
(253) 445-0756
NPI assigned
Nov 26, 2014
Last updated
Mar 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61104257 WA Primary
Family Nurse Practitioner 363LF0000X APRN-1127 HI

Addresses

Primary practice location

1519 3Rd St SE Ste 101
Puyallup, WA 98372-3742

Mailing address

1519 3Rd St SE Ste 101
Puyallup, WA 98372-3742
Phone (253) 841-8939

Other practice location 1

10712 SE Carr Rd
Renton, WA 98055-5826
Phone (425) 277-1040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20210316001484 WA Practitioner - Nurse Practitioner 7012230972 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minuteclinic Diagnostic of Washington PLLCGroup PAC ID 2567870843, 12 clinicians
South Sound Neurosurgery PLLCGroup PAC ID 1254225899, 10 clinicians

Practice addresses (Care Compare)

10712 SE Carr Rd
Renton, WA 98055-5826
Phone (866) 389-2727

1519 3Rd St SE
Suite 101
Puyallup, WA 98372-3742
Phone (253) 841-8939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP61104257WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Neurosurgery PLLC CurrentSince Apr 15, 2021 Accepting new patients
South Sound Neurosurgery PLLC CurrentSince Apr 15, 2021 Accepting new patients

Locations

1519 3rd St SE
Ste 101
Puyallup, WA 98372
Phone (253) 841-8939

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9932/brand/1/csg/1/fhir/r4
  • Direct secure messaging: joyce.miranda.1@33199.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1184021610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 3RD ST SE STE 101",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723742",
            "telephone_number": "253-841-8939",
            "fax_number": "253-445-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 3RD ST SE STE 101",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723742",
            "telephone_number": "253-841-8939",
            "fax_number": "253-445-0756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10712 SE Carr Rd",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980555826",
            "country_code": "US",
            "telephone_number": "425-277-1040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "JOYCE",
        "middle_name": "TEOCSON",
        "credential": "ARNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-26",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61104257",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-1127",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.