Miranda Wyatt

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

License

48183 Issued in AR

Practice address

2911 Linwood Dr
Paragould, AR 72450-7384

Phone

(870) 450-0585

NPI assigned

Dec 29, 2023

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

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.

• Kidspot Paragould Inc

  • Multi-Specialty Clinic/Center
  • Paragould, AR
  • NPI 1649014044
  NPD

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1265201321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 LINWOOD DR",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724507384",
            "telephone_number": "870-450-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 LINWOOD DR",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724507384",
            "telephone_number": "870-450-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "MIRANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "AR",
            "license": "48183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Wright
• Laura Kaye Wright, QBHP
• Lindsey Nicole Wright, LMT
• John Robert Wyatt Jr., CRNA
• Lacey Shayann Wyatt, A.P.N.
• Amy M Wynn, APRN, FNP-BC
• Ashley Donaldson Wysocki, LCSW
• Daniel Elliot Wysocki, LPE-I
• Tyler Mirann Wyss, MHPP
• Tai Soumphane Xoumphonephackdy

• Day Training/Habilitation Specialist in Paragould, AR
• Providers in Paragould, AR by specialty
• Day Training/Habilitation Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.