Active NPI
Miranda Knowles
- Nurse's Aide
- Omaha, NE
National Provider Identifier
1215819628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 126741
- Practice address
- 4113 N 104TH PLZ
Omaha, NE 68134-3781 - Phone
- (402) 707-7052
- NPI assigned
- Jul 24, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 126741 | NE | Primary |
Addresses
Primary practice location
4113 N 104TH PLZ
Omaha, NE 68134-3781
Mailing address
4211 S 143Rd Cir
Omaha, NE 68137-4505
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
| License | State | Type | Specialty |
|---|---|---|---|
| 126741 | NE | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753315200000",
"number": "1215819628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4211 S 143RD CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681374505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4113 N 104TH PLZ",
"city": "OMAHA",
"state": "NE",
"postal_code": "681343781",
"telephone_number": "402-707-7052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOWLES",
"first_name": "MIRANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-24",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "NE",
"license": "126741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.