Miranda Landreth, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

043114323 Issued in MO

Practice address

1112 Linden St
Cape Girardeau, MO 63703-7707

Phone

(573) 332-0416

Fax

(573) 335-2698

NPI assigned

Jan 30, 2018

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1215435706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 S BROADVIEW ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035703",
            "telephone_number": "573-332-0146",
            "fax_number": "573-335-2698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 LINDEN ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637037707",
            "telephone_number": "573-332-0416",
            "fax_number": "573-335-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRETH",
        "first_name": "MIRANDA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MO",
            "license": "043114323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Landgraf, APRN
• Landmark Hospital of Cape Girardeau Transitional Care Center, LLC
• Landmark Hospital of Cape Girardeau, LLC
• Landmark Rehabilitation Hospital of Cape Girardeau, LLC
• Melissa Arlane Landreth, RNC, IBCLC
• Joshua Craig Lane, LMSW
• Kerri Michelle Lane, RN, BSN, FNP-C
• Marshell Lane, NURSE
• Aaron Lang, M.D.
• Jennifer Lang, APN, CNM

• Licensed Practical Nurse in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Licensed Practical Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; 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.