Mirannda Lea Shourek

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3225 E Randolph
Apt 5a
Enid, OK 73701

Phone

(580) 231-8121

NPI assigned

Oct 6, 2017

Sex

Female

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

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507248000000",
    "number": "1225548993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 E RANDOLPH AVE APT 5A",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737014603",
            "telephone_number": "580-231-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 E RANDOLPH",
            "address_2": "APT 5A",
            "city": "ENID",
            "state": "OK",
            "postal_code": "73701",
            "telephone_number": "580-231-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOUREK",
        "first_name": "MIRANNDA",
        "middle_name": "LEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-06",
        "last_updated": "2017-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karber Curren Sheppard
• William Brian Shewey, O.D.
• Charles Robert Shields, MD
• Scott Lamar Shields, DPM
• Margo Renee Short, M.D.
• Ronald Wayne Shreck, M.D.
• Cheryl Reames Shreve, RDLD
• Paula Marie Shuck
• Robert Clark Simmons
• Steve Simo

• Case Manager/Care Coordinator in Enid, OK
• Providers in Enid, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; 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.