Individual provider Active NPI

Miranda Alexandra Turner

  • Physician Assistant
  • Mullica Hill, NJ
National Provider Identifier
1225794928
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00665600 Issued in NJ
Practice address
201 Bridgeton Pike
Mullica Hill, NJ 08062-2671
Phone
(856) 478-2111
Fax
(856) 478-4709
NPI assigned
Nov 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00665600 NJ Primary

Addresses

Primary practice location

201 Bridgeton Pike
Mullica Hill, NJ 08062-2671

Mailing address

201 Bridgeton Pike
Mullica Hill, NJ 08062-2671
Phone (856) 478-2111

Other practice location 1

799 S Delsea Dr
Vineland, NJ 08360-4475
Phone (856) 478-2111

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address miranda.turner.1@12810.direct.athenahealth.com
Direct Messaging Address miranda.turner.1@12810.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20230318000122 NJ Practitioner - Physician Assistant 1557735388 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00665600NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dendrinos Medical Associates, P.a. Past Accepting new patients
Mullica Hill Medical Associates PC PastSince Nov 1, 2021 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12810/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1225794928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BRIDGETON PIKE",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080622671",
            "telephone_number": "856-478-2111",
            "fax_number": "856-478-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BRIDGETON PIKE",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080622671",
            "telephone_number": "856-478-2111",
            "fax_number": "856-478-4709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "799 S Delsea Dr",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083604475",
            "country_code": "US",
            "telephone_number": "856-478-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TURNER",
        "first_name": "MIRANDA",
        "middle_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00665600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "miranda.turner.1@12810.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "201 Bridgeton Pike",
            "city": "Mullica Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080622671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "miranda.turner.1@12810.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "201 Bridgeton Pike",
            "city": "Mullica Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080622671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mullica Hill, NJ

Sources for this page

Verify at the official NPI Registry.