Active NPI
Miranda J Farmer, LMP
- Specialist
- Mill Creek, WA
National Provider Identifier
1265723845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA60203262
- Practice address
- 1700 132ND St SE
Suite L
Mill Creek, WA 98012-5309 - Phone
- (425) 338-1555
- Fax
- (425) 338-0765
- NPI assigned
- Apr 29, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA60203262 | WA | Primary |
Addresses
Primary practice location
1700 132ND St SE
Suite L
Mill Creek, WA 98012-5309
Mailing address
1700 132ND St SE
Suite L
Mill Creek, WA 98012-5309
Phone (425) 338-1555
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 |
|---|---|---|---|
| MA60203262 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304035200000",
"number": "1265723845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 132ND ST SE",
"address_2": "SUITE L",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980125309",
"telephone_number": "425-338-1555",
"fax_number": "425-338-0765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 132ND ST SE",
"address_2": "SUITE L",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980125309",
"telephone_number": "425-338-1555",
"fax_number": "425-338-0765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARMER",
"first_name": "MIRANDA",
"middle_name": "J",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-29",
"last_updated": "2011-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA60203262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mill Creek, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.