Miranda Gardner

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

620 NW 5TH St Ste D
Moore, OK 73160-3947

Phone

(405) 208-4469

NPI assigned

Feb 7, 2022

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

Other names 1

• Miranda Flores Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Integrated Therapy Solutions of Oklahoma, LLC

  • Community/Behavioral Health Agency
  • Moore, OK
  • NPI 1659855278

  Single Specialty

  NPD

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1235883448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 SE 89TH TER",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731356311",
            "telephone_number": "405-664-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 NW 5TH ST STE D",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731603947",
            "telephone_number": "405-208-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "MIRANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "FLORES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Gallup
• Elizabeth Galo
• Veronica Mercedes Gamboa
• Nicole Rachelle Garber, APRN
• Stephen Werk Garder, DDS
• Jessica Renae Garrett
• Gary L. Wade, O.D., Inc
• Prosper Gasu
• Lindsay Marie Gavit, APRN-CNP, PMHNP-BC
• Caitlin C Geiger, FNP-C

• Case Manager/Care Coordinator in Moore, OK
• Providers in Moore, 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 Feb 7, 2022; 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.