Eleanor Mary Miranda, C.N.P

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R39514 Issued in NM

Practice address

1209 University Blvd NE
Albuquerque, NM 87102-1727

Phone

(505) 272-4400

Fax

(505) 272-4211

NPI assigned

Oct 28, 2008

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

Enrolled in NM

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FJAIBD/Endpoint/FJAIBD
• Direct secure messaging: eleanor.miranda@mhpc.eclinicaldirectplus.com

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.

• Unm Hospital

  • General Acute Care Hospital
  • Albuquerque, NM
  • NPI 1689747552
  Medicare reassignment NPD
• Unm Hospital

  • Air Ambulance
  • Albuquerque, NM
  • NPI 1558054684
  NPD
• Optumcare Endoscopy Center New Mexico, LLC

  • Ambulatory Surgical Clinic/Center
  • Albuquerque, NM
  • NPI 1962685834
  NPD (past)

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1285887737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 UNIVERSITY BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021727",
            "telephone_number": "505-272-4400",
            "fax_number": "505-272-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 UNIVERSITY BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021727",
            "telephone_number": "505-272-4400",
            "fax_number": "505-272-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "ELEANOR",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "C.N.P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "R39514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eliezer Miramontes I
• Ivette Miramontes, LPCC, NCC
• Karina Miramontes
• Leslie Yadira Miramontes, RDH
• Karla Guadalupe Miranda-Hernandez
• Innael Todd Miranda, LAC, LPC, LMHC
• Jessica Miranda, COTA/L
• Jovanna Miranda
• Marcela Cazares Miranda, LCSW
• Rhonda Miranda

• Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.