Jeffrey J Mirra, R.N.

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

RN9356525 Issued in FL

Practice address

3301 58TH Ave N Lot 459
Saint Petersburg, FL 33714-1352

Phone

(727) 234-5958

NPI assigned

Mar 1, 2013

Sex

Male

Sole proprietor

Yes

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1205177151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 58TH AVE N LOT 459",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337141352",
            "telephone_number": "727-234-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 58TH AVE N LOT 459",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337141352",
            "telephone_number": "727-234-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRRA",
        "first_name": "JEFFREY",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-01",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "RN9356525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernanda Maria Mira
• Elinor Miranda, M.D.
• Fabiola Miranda
• Valentin Mirea, A.P., D.O.M.
• Mirela Aldea PHD LLC
• Stephanie Margaret Mirsky, MSN, ARNP, CPNP-PC
• Misalud Virtual Clinic PLLC
• Jamie Miskell, APRN
• Michael Patrick Missory, PSY.D
• Allison Anne Mitchell

• Home Health Registered Nurse in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Home Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.